Peter Anthony Koberle, - Medicare Speech-Language Pathologist in Montclair, NJ

Peter Anthony Koberle, is a medicare enrolled "Speech-language Pathologist" provider in Montclair, New Jersey. His current practice location is 42 N Mountain Ave, Montclair, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 783-9400.

Peter Anthony Koberle is licensed to practice in New Jersey (license number 41YS00296100) 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 1417172339.

Contact Information

Peter Anthony Koberle,
42 N Mountain Ave,
Montclair, NJ 07042-2318
(973) 783-9400
(973) 783-8499

Map and Direction




Healthcare Provider's Profile

Full NamePeter Anthony Koberle
GenderMale
SpecialitySpeech-language Pathologist
Location42 N Mountain Ave, Montclair, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417172339
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1759737992
  • Enrollment ID: I20231025000830

Medical Identifiers

Medical identifiers for Peter Anthony Koberle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417172339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 41YS00296100 (New Jersey)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. Peter Anthony Koberle allows following entities to bill medicare on his behalf.
Provider NameAegis Group Practice Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972288728
PECOS PAC ID: 5193036432
Enrollment ID: O20231018000657

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. Peter Anthony Koberle 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 AddressPractice Location Address
Peter Anthony Koberle,
188 Claremont Ave, Apt. #47,
Montclair, NJ 07042-3525

Ph: () -
Peter Anthony Koberle,
42 N Mountain Ave,
Montclair, NJ 07042-2318

Ph: (973) 783-9400

Reviews and Comments


Speech-Language Pathologist in Montclair, NJ

Speech Genie Therapeutic Services
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 18-20 Lackawanna Plz Ste 300, Montclair, NJ 07042
Phone: 973-826-0595    
Jaclyn Nicole Bougades,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    
Ayana Webb, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 33 Hillside Ave Apt 7, Montclair, NJ 07042
Phone: 732-675-0279    
Mary Gagliardotto, MA, CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    
Jill Lynne Hollander, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 7 Bell St Apt 104, Montclair, NJ 07042
Phone: 197-376-8899    
Cara Cilento, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 51 Upper Montclair Plz, Montclair, NJ 07043
Phone: 973-519-1989    
Brielle Korin Stern,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.