Ashwin Sam Koshy, DO is a medicare enrolled "Family Medicine" physician in Port Jervis, New York. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cornerstone Family Healthcare and his current practice location is
140 Hammond St, Port Jervis, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 563-8000.
Ashwin Sam Koshy is licensed to practice in New York (license number 296683) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083141360.
Physician's Profile
| Full Name | Ashwin Sam Koshy |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 7 Years |
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| Location | 140 Hammond St, Port Jervis, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ashwin Sam Koshy graduated from medical school in 2017
NPI Data:
- NPI Number: 1083141360
- Provider Enumeration Date: 05/17/2017
- Last Update Date: 07/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789934951
- Enrollment ID: I20201221002729
Medical Identifiers
Medical identifiers for Ashwin Sam Koshy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083141360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 296683 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cornerstone Family Healthcare | 4880610393 | 51 |
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. Ashwin Sam Koshy allows following entities to bill medicare on his behalf.
| Entity Name | Cornerstone Family Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689669079
PECOS PAC ID: 4880610393
Enrollment ID: O20051024000183 |
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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. Ashwin Sam Koshy 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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Ashwin Sam Koshy, DO
2570 Route 9w Ste 10,
Cornwall, NY 12518-1370
Ph: (845) 220-3100 | Ashwin Sam Koshy, DO
140 Hammond St,
Port Jervis, NY 12771-2607
Ph: (845) 563-8000 |
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