Susan Koshy, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Chestnut Hill, Pennsylvania. Her current practice location is
33 E Chestnut Ave, Chestnut Hill, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 662-7366.
Susan Koshy is licensed to practice in Pennsylvania (license number SP 015634) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376904193.
Provider's Profile
Full Name | Susan Koshy |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 33 E Chestnut Ave, Chestnut Hill, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376904193
- Provider Enumeration Date: 03/08/2016
- Last Update Date: 11/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 4486948007
- Enrollment ID: I20171214000559
Medical Identifiers
Medical identifiers for Susan Koshy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376904193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | SP 015634 (Pennsylvania) | 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. Susan Koshy allows following entities to bill medicare on her behalf.
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093725145 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000256 |
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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. Susan Koshy 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 |
Susan Koshy, CRNP 33 E Chestnut Ave, Chestnut Hill, PA 19118-2713 Ph: (215) 662-7366 | Susan Koshy, CRNP 33 E Chestnut Ave, Chestnut Hill, PA 19118-2713 Ph: (215) 662-7366 |
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