Dr Elvin B Coblentz, PHD is a medicare enrolled "Psychologist - Counseling" provider in Berlin, Ohio. His current practice location is
5130 Tr 359, Berlin, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 893-2100.
Dr Elvin B Coblentz is licensed to practice in Ohio (license number 4532) 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 1174604771.
Healthcare Provider's Profile
Full Name | Dr Elvin B Coblentz |
---|
Gender | Male |
---|
Speciality | Psychologist - Counseling |
---|
Location | 5130 Tr 359, Berlin, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174604771
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032305172
- Enrollment ID: I20101201000359
Medical Identifiers
Medical identifiers for Dr Elvin B Coblentz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174604771 | NPI | - | NPPES |
0903786 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 4532 (Ohio) | Primary |
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 Elvin B Coblentz 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 |
Dr Elvin B Coblentz, PHD Po Box 158, Berlin, OH 44610-0158 Ph: (330) 893-2100 | Dr Elvin B Coblentz, PHD 5130 Tr 359, Berlin, OH 44610 Ph: (330) 893-2100 |
Reviews and Comments