Peter Anthony Koberle, in Montclair, NJ - Medicare Speech-Language Pathologist Provider

Peter Anthony Koberle, is a medicare enrolled "Speech-language Pathologist" provider in Montclair, New Jersey. His current practice location is 42 N Mountain Ave, Montclair, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 783-9400.

Peter Anthony Koberle is licensed to practice in New Jersey (license number 41YS00296100) 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 1417172339.

Contact Information

	Peter Anthony Koberle,
	42 N Mountain Ave, Montclair, NJ 07042-2318
	(973) 783-9400
	(973) 783-8499

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Anthony Koberle
Gender	Male
Speciality	Speech-language Pathologist
Location	42 N Mountain Ave, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417172339
Provider Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759737992
Enrollment ID: I20231025000830

Medical Identifiers

Medical identifiers for Peter Anthony Koberle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417172339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	41YS00296100 (New Jersey)	Primary

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. Peter Anthony Koberle allows following entities to bill medicare on his behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972288728 PECOS PAC ID: 5193036432 Enrollment ID: O20231018000657

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. Peter Anthony Koberle 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
Peter Anthony Koberle, 188 Claremont Ave, Apt. #47, Montclair, NJ 07042-3525 Ph: () -	Peter Anthony Koberle, 42 N Mountain Ave, Montclair, NJ 07042-2318 Ph: (973) 783-9400

Reviews and Comments

Speech-Language Pathologist in Montclair, NJ

Ayana Webb, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 33 Hillside Ave Apt 7, Montclair, NJ 07042 Phone: 732-675-0279
Mary Gagliardotto, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17 Watchung Plz, Montclair, NJ 07042 Phone: 973-744-0804
Cara Cilento, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 Upper Montclair Plz, Montclair, NJ 07043 Phone: 973-519-1989
Brielle Korin Stern, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17 Watchung Plz, Montclair, NJ 07042 Phone: 973-744-0804
Ciera Marie Iandiorio, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 34 Valley Rd Apt 204, Montclair, NJ 07042 Phone: 973-349-0323
Janel Modoski, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 395 Claremont Ave Apt 2, Montclair, NJ 07042 Phone: 609-529-7194
Eileen Anne Fasanella, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Woodmont Rd, Montclair, NJ 07043 Phone: 973-818-2164

Peter Anthony Koberle, - Medicare Speech-Language Pathologist in Montclair, NJ