Walter F Koscienski, DO is a medicare enrolled "Emergency Medicine" physician in Goodlettsville, Tennessee. His current practice location is
1292 Twelve Stones Xing, Goodlettsville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 851-7711.
Walter F Koscienski is licensed to practice in Kentucky (license number 02616) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326106527.
Physician's Profile
| Full Name | Walter F Koscienski |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1292 Twelve Stones Xing, Goodlettsville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326106527
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 02/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577452135
- Enrollment ID: I20050803000960
Medical Identifiers
Medical identifiers for Walter F Koscienski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326106527 | NPI | - | NPPES |
| 64026164 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 02616 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 02616 (Kentucky) | Primary |
| 207P00000X | Emergency Medicine | 2100 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 2100 (Tennessee) | Secondary |
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. Walter F Koscienski allows following entities to bill medicare on his behalf.
| Entity Name | Bowling Green-warren County Community Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831112507
PECOS PAC ID: 7719899947
Enrollment ID: O20031231000033 |
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| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285 |
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| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150 |
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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. Walter F Koscienski 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 |
|---|
Walter F Koscienski, DO
1292 Twelve Stones Xing,
Goodlettsville, TN 37072-3345
Ph: (615) 851-7711 | Walter F Koscienski, DO
1292 Twelve Stones Xing,
Goodlettsville, TN 37072-3345
Ph: (615) 851-7711 |
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