Patty J Koker, LCSW - Medicare in Corvallis, OR

Patty J Koker, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Corvallis, Oregon. Her current practice location is 530 Nw 27th St, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 766-6835.

Patty J Koker is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053887109.

Contact Information

Patty J Koker, LCSW
530 Nw 27th St,
Corvallis, OR 97330-5223
(541) 766-6835
Not Available



Healthcare Provider's Profile

Full NamePatty J Koker
GenderFemale
SpecialityCounselor - Mental Health
Location530 Nw 27th St, Corvallis, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053887109
  • Provider Enumeration Date: 10/16/2018
  • Last Update Date: 03/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183018971
  • Enrollment ID: I20220221000791

Medical Identifiers

Medical identifiers for Patty J Koker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053887109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical A5632 (Oregon)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))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. Patty J Koker allows following entities to bill medicare on her behalf.
Entity NameJd Health And Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689918161
PECOS PAC ID: 3274767173
Enrollment ID: O20131008001846

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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. Patty J Koker 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 AddressPractice Location Address
Patty J Koker, LCSW
2042 Sw Kendra St,
Corvallis, OR 97333-2266

Ph: (541) 974-5835
Patty J Koker, LCSW
530 Nw 27th St,
Corvallis, OR 97330-5223

Ph: (541) 766-6835

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