MRS. MARIANNA KOSS PA
NPI 1902993561
Physician Assistant - Medical in New York, NY

NPI Status: Active since October 06, 2006

Contact Information

425 E 61ST ST
4TH FLOOR
NEW YORK, NY
ZIP 10021
Phone: (212) 752-2900
Fax: (212) 752-2949

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  • Individual
  • Female
  • Years of Experience 29
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARIANNA KOSS

This page provides the complete NPI Profile along with additional information for Marianna Koss, a primary care provider established in New York, New York with a medical specialization in Physician Assistant, focusing in medical and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1902993561 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 006256-1 (NY). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1902993561
Provider Name
MRS. MARIANNA KOSS PA
Gender
Female
Entity Type
Individual
Location Address
425 E 61ST ST 4TH FLOOR NEW YORK, NY 10021
Location Phone
(212) 752-2900
Location Fax
(212) 752-2949
Mailing Address
425 E 61ST ST 4TH FLOOR NEW YORK, NY 10021
Mailing Phone
(718) 265-0005
Mailing Fax
(212) 752-2949
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
Yes
Enumeration Date
10-06-2006
Last Update Date
03-18-2009
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A primary care provider (PCP) like Marianna Koss sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
006256-1
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5F25638321MEDICARE PIN (08)NY 
02353208MEDICAID (05)NY 

Medicare Participation & PECOS Enrollment Status

Marianna Koss is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Marianna Koss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7315049442

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070323000167

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 27 times for 24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 17 times for 17 patients

Reviews for MRS. MARIANNA KOSS PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902993561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 8 + 9 + 6 + 5 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1902993561.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Psychologist (Clinical)
425 E 61ST ST, PENTHOUSE SUITE 1301A
NEW YORK, NY 10021
Genetic Counselor, MS
425 E 61ST ST, 8TH FLOOR
NEW YORK, NY 10021
Surgery
425 E 61ST ST, SUITE 8TH FLOOR
NEW YORK, NY 10021
Surgery
425 E 61ST ST, 8TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Internal Medicine (Pulmonary Disease)
425 E 61ST ST, 4TH FL
NEW YORK, NY 10021
Internal Medicine (Cardiovascular Disease)
425 E 61ST ST, 4TH FLOOR
NEW YORK, NY 10021
Physical Therapist
425 E 61ST ST
NEW YORK, NY 10021
Psychiatry & Neurology (Psychiatry)
425 E 61ST ST, PENTHOUSE FLOOR SUITE 13-16
NEW YORK, NY 10021
Psychologist
425 E 61ST ST, PH 1307
NEW YORK, NY 10021
Internal Medicine
425 E 61ST ST, 11TH FLOOR
NEW YORK, NY 10021
Obstetrics & Gynecology
425 E 61ST ST, 11TH FLOOR
NEW YORK, NY 10021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902993561, enumerated as an "individual" on October 06, 2006.

The provider is located at 425 E 61ST ST 4TH FLOOR NEW YORK, NY 10021 and the phone number is (212) 752-2900.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.