Stephen A Koscherak, PHD is a medicare enrolled "Psychologist - Clinical" provider in Southwest Harbor, Maine. His current practice location is
16 Community Ln, Southwest Harbor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 244-5630.
Stephen A Koscherak is licensed to practice in New York (license number 0042341) 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 1144290941.
Healthcare Provider's Profile
| Full Name | Stephen A Koscherak |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 16 Community Ln, Southwest Harbor, Maine |
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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: 1144290941
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 03/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 8527019355
- Enrollment ID: I20091124000189
Medical Identifiers
Medical identifiers for Stephen A Koscherak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144290941 | NPI | - | NPPES |
| 1790764512-009 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 0042341 (New York) | 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. Stephen A Koscherak allows following entities to bill medicare on his behalf.
| Entity Name | Mount Desert Island Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790764512
PECOS PAC ID: 0941250963
Enrollment ID: O20050127000611 |
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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. Stephen A Koscherak 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 |
|---|
Stephen A Koscherak, PHD
10 Wayman Ln,
Bar Harbor, ME 04609-1625
Ph: (207) 288-5081 | Stephen A Koscherak, PHD
16 Community Ln,
Southwest Harbor, ME 04679-4273
Ph: (207) 244-5630 |
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