Nikolaos Kombos, PHD is a medicare enrolled "Psychologist - Clinical" provider in Jacksonville, Texas. His current practice location is
208 E Rusk St, Jacksonville, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 262-6175.
Nikolaos Kombos is licensed to practice in Texas (license number 3642) 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 1194757930.
Healthcare Provider's Profile
| Full Name | Nikolaos Kombos |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 208 E Rusk St, Jacksonville, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194757930
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 05/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002084027
- Enrollment ID: I20110719000245
Medical Identifiers
Medical identifiers for Nikolaos Kombos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194757930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 3642 (Texas) | 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. Nikolaos Kombos allows following entities to bill medicare on his behalf.
| Entity Name | Aegis Psychological Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164703047
PECOS PAC ID: 6204098353
Enrollment ID: O20120507000473 |
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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. Nikolaos Kombos 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 |
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Nikolaos Kombos, PHD
Po Box 2621,
Jacksonville, TX 75766-4942
Ph: (903) 262-6175 | Nikolaos Kombos, PHD
208 E Rusk St,
Jacksonville, TX 75766-4942
Ph: (903) 262-6175 |
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