Dr Evan Koehn, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Essexville, Michigan. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Saginaw County Community Mental Health Authority and his current practice location is
926 W Center Rd, Essexville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 928-5095.
Dr Evan Koehn is licensed to practice in Michigan (license number 6301018854) 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 1275905911.
Healthcare Provider's Profile
| Full Name | Dr Evan Koehn |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 926 W Center Rd, Essexville, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Evan Koehn graduated from medical school in 2018
NPI Data:
- NPI Number: 1275905911
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 08/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042685208
- Enrollment ID: I20230331001982
Medical Identifiers
Medical identifiers for Dr Evan Koehn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275905911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 6301018854 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Saginaw County Community Mental Health Authority | 7719037332 | 25 |
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 Evan Koehn allows following entities to bill medicare on his behalf.
| Entity Name | Richard Kneip Phd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679739700
PECOS PAC ID: 4880768415
Enrollment ID: O20080731000086 |
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| Entity Name | Saginaw County Community Mental Health Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689778953
PECOS PAC ID: 7719037332
Enrollment ID: O20090602000483 |
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| Entity Name | Supportive Care I Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548995608
PECOS PAC ID: 9638554298
Enrollment ID: O20220916003011 |
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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. Dr Evan Koehn 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 |
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Dr Evan Koehn, PHD, LP
985450 Nebraska Medical Ctr,
Omaha, NE 68198-5450
Ph: (402) 559-6408 | Dr Evan Koehn, PHD, LP
926 W Center Rd,
Essexville, MI 48732-2006
Ph: (989) 928-5095 |
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