Dr John Kenneth Lodge, PSYD in Beavercreek, OH - Medicare Clinical Psychologist Provider

Dr John Kenneth Lodge, PSYD is a medicare enrolled "Psychologist" provider in Beavercreek, Ohio. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Osu General Internal Medicine Llc and his current practice location is 3171 Beaver Vu Dr Ste B, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 431-8014.

Dr John Kenneth Lodge is licensed to practice in Ohio (license number 7194) 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 1639421449.

Contact Information

	Dr John Kenneth Lodge, PSYD
	3171 Beaver Vu Dr Ste B, Beavercreek, OH 45434-6368
	(937) 431-8014
	(937) 431-8042

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Kenneth Lodge
Gender	Male
Speciality	Clinical Psychologist
Experience	11 Years
Location	3171 Beaver Vu Dr Ste B, Beavercreek, Ohio
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 John Kenneth Lodge graduated from medical school in 2013

NPI Data:

NPI Number: 1639421449
Provider Enumeration Date: 10/04/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7719107911
Enrollment ID: I20141010001971

Medical Identifiers

Medical identifiers for Dr John Kenneth Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639421449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	7194 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osu General Internal Medicine Llc	7517103955	243

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 John Kenneth Lodge allows following entities to bill medicare on his behalf.

Entity Name	Osu Family Practice Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659339653 PECOS PAC ID: 9032023874 Enrollment ID: O20031117000511

Entity Name	Osu General Internal Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603

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 John Kenneth Lodge 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 John Kenneth Lodge, PSYD 3171 Beaver Vu Dr Ste B, Beavercreek, OH 45434-6368 Ph: (937) 431-8014	Dr John Kenneth Lodge, PSYD 3171 Beaver Vu Dr Ste B, Beavercreek, OH 45434-6368 Ph: (937) 431-8014

Reviews and Comments

Psychologist in Beavercreek, OH

Dr. Leanna Elaine Manuel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1321 Research Park Dr, Suite 200, Beavercreek, OH 45432 Phone: 937-431-3870 Fax: 937-431-3871
Dr. Kelly Ann Predieri, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2365 Lakeview Dr, Suite B, Beavercreek, OH 45431 Phone: 937-320-1218 Fax: 937-320-0824
Alexandra Elizabeth Riggs, ED. S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3040 Kemp Rd, Beavercreek, OH 45431 Phone: 937-458-2553
Rebecca Cheney, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3040 Kemp Rd, Beavercreek, OH 45431 Phone: 937-458-2406
Dene S Berman, PSYCHOLOGIST PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1698 Forestdale Ave, Beavercreek, OH 45432 Phone: 937-426-2079 Fax: 937-426-0211
Kailee Colter, M.S., ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Glen Meadow Way, Beavercreek, OH 45432 Phone: 937-830-5000
Dr. Kenneth Hugh Wilson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3333c Dayton Xenia Road, Beavercreek, OH 45432 Phone: 937-429-1441

Dr John Kenneth Lodge, PSYD - Medicare Psychologist in Beavercreek, OH