Dr Kevin Prosnick, PHD - Medicare Psychologist in Warren, OH

Dr Kevin Prosnick, PHD is a medicare enrolled "Psychologist - Clinical" provider in Warren, Ohio. His current practice location is 154 Hogan Ln Ne, Warren, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 423-5066.

Dr Kevin Prosnick is licensed to practice in Ohio (license number 5430) 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 1528287612.

Contact Information

Dr Kevin Prosnick, PHD
154 Hogan Ln Ne,
Warren, OH 44484-5545
(330) 423-5066
Not Available



Healthcare Provider's Profile

Full NameDr Kevin Prosnick
GenderMale
SpecialityPsychologist - Clinical
Location154 Hogan Ln Ne, Warren, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528287612
  • Provider Enumeration Date: 04/25/2007
  • Last Update Date: 08/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163474875
  • Enrollment ID: I20050210000522

Medical Identifiers

Medical identifiers for Dr Kevin Prosnick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528287612NPI-NPPES
2072680MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 5430 (Ohio)Primary

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 Prosnick 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 Prosnick, PHD
154 Hogan Ln Ne,
Warren, OH 44484-5545

Ph: (330) 423-5066
Dr Kevin Prosnick, PHD
154 Hogan Ln Ne,
Warren, OH 44484-5545

Ph: (330) 423-5066

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› Verified 4 days ago


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