Travis A Cos, PHD is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. His current practice location is
1200 Callowhill St, Phmc Care Clinic, Suite 101, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 825-8220.
Travis A Cos is licensed to practice in Pennsylvania (license number PS016774) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639365174.
Healthcare Provider's Profile
| Full Name | Travis A Cos |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1200 Callowhill St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639365174
- Provider Enumeration Date: 09/19/2007
- Last Update Date: 07/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 8820316110
- Enrollment ID: I20150416002337
Medical Identifiers
Medical identifiers for Travis A Cos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639365174 | NPI | - | NPPES |
| 685661 | Other | MA | TUFTS |
| M18708 | Other | MA | BLUE CROSS |
| 1312677 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016774 (Pennsylvania) | Primary |
| 103TC0700X | Psychologist - Clinical | 018246-1 (New York) | Secondary |
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. Travis A Cos allows following entities to bill medicare on his behalf.
| Entity Name | Public Health Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881779866
PECOS PAC ID: 1850307406
Enrollment ID: O20060504000213 |
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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. Travis A Cos 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 |
|---|
Travis A Cos, PHD
1500 Market Street, Lm 500 West Tower,
Philadelphia, PA 19120-2100
Ph: (215) 985-2595 | Travis A Cos, PHD
1200 Callowhill St, Phmc Care Clinic, Suite 101,
Philadelphia, PA 19123-3658
Ph: (215) 825-8220 |
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