Tina Koval, NURSE PRACTITIONER - Medicare Nurse Practitioner in Willoughby, OH

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Tina Koval, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Willoughby, Ohio. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New Manna Clg Llc and her current practice location is 37418 Euclid Ave Apt 102, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 487-4522.

Tina Koval is licensed to practice in Ohio (license number 020807) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518495316.

Contact Information

Tina Koval, NURSE PRACTITIONER
37418 Euclid Ave Apt 102,
Willoughby, OH 44094-5651
(440) 487-4522
(440) 487-4522

Map and Direction




Provider's Profile

Full NameTina Koval
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location37418 Euclid Ave Apt 102, Willoughby, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina Koval graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1518495316
  • Provider Enumeration Date: 05/24/2017
  • Last Update Date: 03/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496021487
  • Enrollment ID: I20171018002641

Medical Identifiers

Medical identifiers for Tina Koval such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518495316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 020807 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Health Beachwood Medical CenterBeachwood, OHHospital
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Manna Clg Llc23657895593

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. Tina Koval allows following entities to bill medicare on her behalf.
Entity NameLake Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963
Entity NameNew Manna Clg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972149268
PECOS PAC ID: 2365789559
Enrollment ID: O20200228000603

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. Tina Koval 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
Tina Koval, NURSE PRACTITIONER
7590 Auburn Road, Suite 014, Attn: Med Staff,
Concord Twp., OH 44077-9176

Ph: (440) 354-1899		Tina Koval, NURSE PRACTITIONER
37418 Euclid Ave Apt 102,
Willoughby, OH 44094-5651

Ph: (440) 487-4522

Reviews and Comments


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Phone: 440-946-0053    Fax: 440-946-1812

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.