Dr Michael Kozlowski, PHD is a medicare enrolled "Psychologist" provider in Oregon City, Oregon. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Providence Health And Services Oregon and his current practice location is
619 Madison St Ste 108, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 303-4257.
Dr Michael Kozlowski is licensed to practice in Oregon (license number 3405) 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 1770864688.
Healthcare Provider's Profile
| Full Name | Dr Michael Kozlowski |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 619 Madison St Ste 108, Oregon City, Oregon |
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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:
- Dr Michael Kozlowski graduated from medical school in 2020
NPI Data:
- NPI Number: 1770864688
- Provider Enumeration Date: 09/06/2011
- Last Update Date: 09/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375084262
- Enrollment ID: I20240918004159
Medical Identifiers
Medical identifiers for Dr Michael Kozlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770864688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 3588 (Oregon) | Secondary |
| 103T00000X | Psychologist | 3405 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
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 Michael Kozlowski allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652 |
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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. Dr Michael Kozlowski 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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Dr Michael Kozlowski, PHD
619 Madison St Ste 108,
Oregon City, OR 97045-2354
Ph: (503) 303-4257 | Dr Michael Kozlowski, PHD
619 Madison St Ste 108,
Oregon City, OR 97045-2354
Ph: (503) 303-4257 |
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