Raymond J Coppola, PHD is a medicare enrolled "Psychologist" provider in Albany, New York. He graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
1 Marcus Blvd Ste 106, Albany, New York. You can reach out to his office (for appointments etc.) via phone at
(774) 318-0850.
Raymond J Coppola is licensed to practice in New York (license number 022676) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598905770.
Healthcare Provider's Profile
| Full Name | Raymond J Coppola |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 10 Years |
|---|
| Location | 1 Marcus Blvd Ste 106, Albany, New York |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Raymond J Coppola graduated from medical school in 2014
NPI Data:
- NPI Number: 1598905770
- Provider Enumeration Date: 02/27/2009
- Last Update Date: 02/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901154426
- Enrollment ID: I20180731002300
Medical Identifiers
Medical identifiers for Raymond J Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598905770 | NPI | - | NPPES |
| M18684 | Other | MA | BCBS |
| 2220002001 | Other | MA | BCBS |
| 1306421 | Medicaid | MA | |
| 1308785 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 022676 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raymond J Coppola allows following entities to bill medicare on his behalf.
| Entity Name | Roman Catholic Diocese Of Albany Ny |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1457421919
PECOS PAC ID: 3274433065
Enrollment ID: O20040109000193 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raymond J Coppola is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Raymond J Coppola, PHD
601 4th Ave,
Troy, NY 12182-2513
Ph: (774) 318-0850 | Raymond J Coppola, PHD
1 Marcus Blvd Ste 106,
Albany, NY 12205-5953
Ph: (774) 318-0850 |
Reviews and Comments