Susan Koshy, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Chestnut Hill, Pennsylvania. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main Line Healthcare and her current practice location is
33 E Chestnut Ave, Chestnut Hill, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 662-7366.
Susan Koshy is licensed to practice in Pennsylvania (license number SP 015634) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376904193.
Provider's Profile
| Full Name | Susan Koshy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 33 E Chestnut Ave, Chestnut Hill, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Susan Koshy graduated from nursing school in 2015
NPI Data:
- NPI Number: 1376904193
- Provider Enumeration Date: 03/08/2016
- Last Update Date: 11/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 4486948007
- Enrollment ID: I20171214000559
Medical Identifiers
Medical identifiers for Susan Koshy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376904193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | SP 015634 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Main Line Healthcare | 1951215201 | 1029 |
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. Susan Koshy allows following entities to bill medicare on her behalf.
| Entity Name | Main Line Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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| Entity Name | University Of Penn - Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093725145 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000256 |
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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. Susan Koshy 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 |
Susan Koshy, CRNP 33 E Chestnut Ave, Chestnut Hill, PA 19118-2713 Ph: (215) 662-7366 | Susan Koshy, CRNP 33 E Chestnut Ave, Chestnut Hill, PA 19118-2713 Ph: (215) 662-7366 |
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