Travis A Cos, PHD is a
Psychologist - Clinical based in Philadelphia, Pennsylvania. Travis A Cos is licensed to practice in Pennsylvania (license number PS016774) and his current practice location is
1200 Callowhill St, Phmc Care Clinic, Suite 101, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 825-8220.
NPI number for Travis A Cos is 1639365174 and his current mailing address is 1500 Market Street, Lm 500 West Tower, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639365174.
Healthcare Provider's Profile
| Full Name | Travis A Cos |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 1200 Callowhill St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639365174
- Provider Enumeration Date: 09/19/2007
- Last Update Date: 07/15/2016
Medical Identifiers
Medical identifiers for Travis A Cos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639365174 | NPI | - | NPPES |
| 685661 | Other | MA | TUFTS |
| M18708 | Other | MA | BLUE CROSS |
| 1312677 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016774 (Pennsylvania) | Primary |
| 103TC0700X | Psychologist - Clinical | 018246-1 (New York) | Secondary |
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. Travis A Cos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Travis A Cos, PHD
1500 Market Street, Lm 500 West Tower,
Philadelphia, PA 19120-2100
Ph: (215) 985-2595 | Travis A Cos, PHD
1200 Callowhill St, Phmc Care Clinic, Suite 101,
Philadelphia, PA 19123-3658
Ph: (215) 825-8220 |
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