Dr Roman John Kolodchin, PHD in Warren, MI - Medicare Psychologist Provider

Dr Roman John Kolodchin, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Warren, Michigan. His current practice location is 21056 Dean St, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 477-7472.

Dr Roman John Kolodchin is licensed to practice in Michigan (license number 6301009313) 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 1679900047.

Contact Information

	Dr Roman John Kolodchin, PHD
	21056 Dean St, Warren, MI 48091-2760
	(586) 477-7472
	(313) 454-8447

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Roman John Kolodchin
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	21056 Dean St, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679900047
Provider Enumeration Date: 10/01/2013
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 8820981426
Enrollment ID: I20240612001298

Medical Identifiers

Medical identifiers for Dr Roman John Kolodchin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679900047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	6301009313 (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 Roman John Kolodchin allows following entities to bill medicare on his behalf.

Entity Name	Generations Wellness Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225755440 PECOS PAC ID: 6406398601 Enrollment ID: O20240603003785

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 Roman John Kolodchin 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 Roman John Kolodchin, PHD 21056 Dean St, Warren, MI 48091-2760 Ph: (586) 477-7472	Dr Roman John Kolodchin, PHD 21056 Dean St, Warren, MI 48091-2760 Ph: (586) 477-7472

Reviews and Comments

Psychologist in Warren, MI

Mackenzie Mcclellan, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700
Amber Michon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14081 La Chene Ave, Warren, MI 48088 Phone: 586-817-2432
Dr. Sheila Joyce Eaton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31201 Chicago Rd S, Suite A102, Warren, MI 48093 Phone: 586-795-4750 Fax: 586-795-4760
Christine Brzezinski, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-558-7472
Christie Ladonna Chandler, HHP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8401 Kennedy Cir Unit 3, Warren, MI 48093 Phone: 586-843-7880
Mr. Gerald E Poirier, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11022 Sunburst Ave, Warren, MI 48089 Phone: 586-758-1084
Ms. Kathleen Ann Andrulis, M.A., L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13 Mile Rd Ste B, Warren, MI 48092 Phone: 586-274-0200

Dr Roman John Kolodchin, PHD - Medicare Psychologist in Warren, MI