Dr James M Koban, MD - Medicare Psychiatry in Somerset, PA

Dr James M Koban, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Somerset, Pennsylvania. He went to Pennsylvania State University College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Bedford Somerset Developmental And Behavioral Health Services and his current practice location is 245 West Race Street, Somerset, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 443-4891.

Dr James M Koban is licensed to practice in Pennsylvania (license number MD048058L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174589857.

Contact Information

Dr James M Koban, MD
245 West Race Street,
Somerset, PA 15501
(814) 443-4891
(814) 443-4898

Map and Direction




Physician's Profile

Full NameDr James M Koban
GenderMale
SpecialityPsychiatry
Experience34 Years
Location245 West Race Street, Somerset, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James M Koban attended and graduated from Pennsylvania State University College Of Medicine in 1990
  NPI Data:
  • NPI Number: 1174589857
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 09/01/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6800994450
  • Enrollment ID: I20070606000321

Medical Identifiers

Medical identifiers for Dr James M Koban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174589857NPI-NPPES
01663803MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD048058L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bedford Somerset Developmental And Behavioral Health Services68008349128

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. Dr James M Koban allows following entities to bill medicare on his behalf.
Entity NameBedford Somerset Developmental And Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881818672
PECOS PAC ID: 6800834912
Enrollment ID: O20050420000111

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. Dr James M Koban 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 AddressPractice Location Address
Dr James M Koban, MD
245 West Race Street,
Somerset, PA 15501

Ph: (814) 443-4891
Dr James M Koban, MD
245 West Race Street,
Somerset, PA 15501

Ph: (814) 443-4891

Reviews and Comments


Psychiatry & Neurology Doctors in Somerset, PA

Maria Del Carmen Lopez Santiago, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 225 S Center Ave, Somerset, PA 15501
Phone: 814-443-5170    
Dr. Anjaneyulu Karumudi, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 245 W Race St, Somerset, PA 15501
Phone: 814-443-4891    Fax: 814-443-4898
Glenn Joseph Kashurba, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 113 S Center Ave, Somerset, PA 15501
Phone: 814-445-9695    Fax: 814-444-8812
Dr. Adedute A Gbadehan, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 211 Georgian Pl, Somerset, PA 15501
Phone: 814-485-2470    
Dr. Anthony Giampolo, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 445 West Ridge Road, Somerset, PA 15501
Phone: 814-443-6387    Fax: 814-443-2535

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.