Dr Evan Koehn, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Essexville, Michigan. His current practice location is
926 W Center Rd, Essexville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 928-5095.
Dr Evan Koehn is licensed to practice in Michigan (license number 6301018854) 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 1275905911.
Healthcare Provider's Profile
Full Name | Dr Evan Koehn |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 926 W Center Rd, Essexville, Michigan |
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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: 1275905911
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 08/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042685208
- Enrollment ID: I20230331001982
Medical Identifiers
Medical identifiers for Dr Evan Koehn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275905911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301018854 (Michigan) | 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. Dr Evan Koehn allows following entities to bill medicare on his behalf.
Entity Name | Richard Kneip, Ph.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086 |
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Entity Name | Saginaw County Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689778953 PECOS PAC ID: 7719037332 Enrollment ID: O20090602000483 |
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Entity Name | Supportive Care I Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548995608 PECOS PAC ID: 9638554298 Enrollment ID: O20220916003011 |
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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. Dr Evan Koehn 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 Evan Koehn, PHD, LP 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 Ph: (402) 559-6408 | Dr Evan Koehn, PHD, LP 926 W Center Rd, Essexville, MI 48732-2006 Ph: (989) 928-5095 |
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