Dr Kevin Allan Mishock, DO in State College, PA

Dr Kevin Allan Mishock, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in State College, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Bradenton and graduated in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Brevard Physician Associates Pllc and his current practice location is 1800 E Park Ave, Mount Nittany Medical Center, State College, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 234-6110.

Dr Kevin Allan Mishock is licensed to practice in Pennsylvania (license number OS011815L) 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 1063432896.

Contact Information

	Dr Kevin Allan Mishock, DO
	1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803-6701
	(814) 234-6110
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kevin Allan Mishock
Gender	Male
Speciality	Emergency Medicine
Experience	24 Years
Location	1800 E Park Ave, State College, 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.

Medical Education and Training:

Dr Kevin Allan Mishock attended and graduated from Lake Erie College Of Osteopathic Medicine, Bradenton in 2000

NPI Data:

NPI Number: 1063432896
Provider Enumeration Date: 07/21/2006
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7214913003
Enrollment ID: I20230706000865

Medical Identifiers

Medical identifiers for Dr Kevin Allan Mishock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063432896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS18411 (Florida)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	OS011815L (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holmes Regional Medical Center	Melbourne, FL	Hospital
Palm Bay Hospital	Palm bay, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brevard Physician Associates Pllc	1850535048	199

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 Kevin Allan Mishock allows following entities to bill medicare on his behalf.

Entity Name	Brevard Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619

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 Kevin Allan Mishock 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
Dr Kevin Allan Mishock, DO 617 Purdue Mountain Rd, Bellefonte, PA 16823-8931 Ph: (814) 353-8922	Dr Kevin Allan Mishock, DO 1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803-6701 Ph: (814) 234-6110

Reviews and Comments

Emergency Medicine Doctors in State College, PA

Jason Ferderber, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484
Dr. Christine Louise Tichansky, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169
Teresa Dolan, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110
Dr. Kasandra Ann Botti, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110
Dr. Ryan Michael Burton, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110
Dr. Mina Salib, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-375-4045

Dr Kevin Allan Mishock, DO - Medicare Emergency Medicine in State College, PA