| Dr James M Koban, MD | |
|
245 West Race Street, Somerset, PA 15501 | |
| (814) 443-4891 | |
| (814) 443-4898 |
| Full Name | Dr James M Koban |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 35 Years |
| Location | 245 West Race Street, Somerset, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174589857 | NPI | - | NPPES |
| 01663803 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD048058L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bedford Somerset Developmental And Behavioral Health Services | 6800834912 | 11 |
| Entity Name | Bedford Somerset Developmental And Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881818672 PECOS PAC ID: 6800834912 Enrollment ID: O20050420000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James M Koban, MD 245 West Race Street, Somerset, PA 15501 Ph: (814) 443-4891 | Dr James M Koban, MD 245 West Race Street, Somerset, PA 15501 Ph: (814) 443-4891 |
Maria Del Carmen Lopez Santiago, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 225 S Center Ave, Somerset, PA 15501 Phone: 814-443-5170 | |
Dr. Anjaneyulu Karumudi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 245 W Race St, Somerset, PA 15501 Phone: 814-443-4891 Fax: 814-443-4898 | |
Glenn Joseph Kashurba, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 113 S Center Ave, Somerset, PA 15501 Phone: 814-445-9695 Fax: 814-444-8812 | |
Dr. Anthony Giampolo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 445 West Ridge Road, Somerset, PA 15501 Phone: 814-443-6387 Fax: 814-443-2535 |