Dr Kevin Allan Mishock, DO - Medicare Emergency Medicine in State College, PA

Dr Kevin Allan Mishock, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in State College, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Bradenton and graduated in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Brevard Physician Associates Pllc and his current practice location is 1800 E Park Ave, Mount Nittany Medical Center, State College, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 234-6110.

Dr Kevin Allan Mishock is licensed to practice in Pennsylvania (license number OS011815L) 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 1063432896.

Contact Information

Dr Kevin Allan Mishock, DO
1800 E Park Ave, Mount Nittany Medical Center,
State College, PA 16803-6701
(814) 234-6110
Not Available



Physician's Profile

Full NameDr Kevin Allan Mishock
GenderMale
SpecialityEmergency Medicine
Experience24 Years
Location1800 E Park Ave, State College, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Kevin Allan Mishock attended and graduated from Lake Erie College Of Osteopathic Medicine, Bradenton in 2000
  NPI Data:
  • NPI Number: 1063432896
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214913003
  • Enrollment ID: I20230706000865

Medical Identifiers

Medical identifiers for Dr Kevin Allan Mishock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063432896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS18411 (Florida)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services OS011815L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holmes Regional Medical CenterMelbourne, FLHospital
Palm Bay HospitalPalm bay, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brevard Physician Associates Pllc1850535048199

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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 Kevin Allan Mishock allows following entities to bill medicare on his behalf.
Entity NameBrevard Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598008955
PECOS PAC ID: 1850535048
Enrollment ID: O20130909000619

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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 Kevin Allan Mishock 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
Dr Kevin Allan Mishock, DO
617 Purdue Mountain Rd,
Bellefonte, PA 16823-8931

Ph: (814) 353-8922
Dr Kevin Allan Mishock, DO
1800 E Park Ave, Mount Nittany Medical Center,
State College, PA 16803-6701

Ph: (814) 234-6110

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Emergency Medicine Doctors in State College, PA

Jason Ferderber,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803
Phone: 814-237-4321    Fax: 814-235-0484
Dr. Christine Louise Tichansky, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801
Phone: 814-231-7868    Fax: 814-238-4169
Teresa Dolan,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803
Phone: 814-234-6110    
Dr. Kasandra Ann Botti, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-234-6110    
Dr. Ryan Michael Burton, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-234-6110    
Dr. Mina Salib, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 University Dr, State College, PA 16801
Phone: 814-375-4045    

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