Lisa M Koczak, DPT in Hamden, CT - Medicare Physical Therapist In Private Practice Provider

Lisa M Koczak, DPT is a medicare enrolled "Physical Therapist" provider in Hamden, Connecticut. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Connecticut Orthopaedic Specialists Pc and her current practice location is 2416 Whitney Ave, Second Floor, Hamden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 407-3590.

Lisa M Koczak is licensed to practice in Connecticut (license number 8736) 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 1063734473.

Contact Information

	Lisa M Koczak, DPT
	2416 Whitney Ave, Second Floor, Hamden, CT 06518-3249
	(203) 407-3590
	(203) 466-8527

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa M Koczak
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	16 Years
Location	2416 Whitney Ave, Hamden, Connecticut
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:

Lisa M Koczak graduated from medical school in 2010

NPI Data:

NPI Number: 1063734473
Provider Enumeration Date: 02/26/2010
Last Update Date: 05/18/2026

Medicare PECOS Information:

PECOS PAC ID: 3274853114
Enrollment ID: I20150518001000

Medical Identifiers

Medical identifiers for Lisa M Koczak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063734473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8736 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Connecticut Orthopaedic Specialists Pc	7315850039	182

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. Lisa M Koczak allows following entities to bill medicare on her behalf.

Provider Name	Connecticut Orthopaedic Specialists Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235181389 PECOS PAC ID: 7315850039 Enrollment ID: O20031110000220

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. Lisa M Koczak 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
Lisa M Koczak, DPT 2 Barnes Industrial Rd S, Wallingford, CT 06492-2486 Ph: (203) 626-0160	Lisa M Koczak, DPT 2416 Whitney Ave, Second Floor, Hamden, CT 06518-3249 Ph: (203) 407-3590

Reviews and Comments

Physical Therapist in Hamden, CT

Sarah Elizabeth Townsend-grant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2285 Whitney Ave, Hamden, CT 06518 Phone: 203-288-6977 Fax: 203-230-8444
Jane Kircaldie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2408 Whitney Ave, Hamden, CT 06518 Phone: 203-407-3590 Fax: 203-407-3595
Dr. Diana L Brassell, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1450 Whitney Ave, Hamden, CT 06517 Phone: 203-248-8880
Cynthia Gonzalez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 Connolly Pkwy, Bldg. 17, Hamden, CT 06514 Phone: 203-230-2815 Fax: 203-230-8502
Merin Mathew, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Mix Ave, Hamden, CT 06514 Phone: 203-281-3500
Eric Lagoy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 Whitney Ave, Hamden, CT 06517 Phone: 203-672-9227

Lisa M Koczak, DPT - Medicare Physical Therapist in Hamden, CT