Amee Kozlovski
Individual provider Active NPI Psychiatry Physician · Mount Vernon, AL
NPI 1013243773 · NPPES record last updated Oct 29, 2009
Key facts
- NPI
- 1013243773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- L.3106SI (AL)
- Practice address
- 725 E Coy Smith Hwy
Mount Vernon, AL 36560-3322 - Phone
- (251) 662-6700
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Alabama Dept of Mental Health and Mental Retardation
Practice addresses (Care Compare)
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone (205) 507-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100202000616 | AL | Practitioner - Psychiatry | 4880736800 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.3106SI | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alabama Dept of Mental Health & Mental Retardation | Current | Accepting new patients | |
| State of Alabama Dept of Mental Health & Mental Retardation | Current |
Accepting new patients | |
| State of Alabama Dept of Finace | Current |
Accepting new patients | |
| State of Alabama Dept of Finance | Past | Accepting new patients |
Locations
725 E Coy Smith Hwy
Mount Vernon, AL 36560
Phone (251) 662-6700
200 University Blvd
Tuscaloosa, AL 35401
Phone (205) 759-0715
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 507-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L.3106SI | AL | Yes |
Addresses
Primary practice location
725 E Coy Smith Hwy
Mount Vernon, AL 36560-3322
Mailing address
PO Box 1090
Mount Vernon, AL 36560-1090
Other providers in Mount Vernon, AL
- Joel D Green
- Brenda G Harvey
- Christian S Hildreth
- Justin Zackary Jeffus
- Rajani S Joshi
- Dustrine B Lambert Sr.
- Judy B Laxton
- Angela L Lewis
- Leslie Norwood Mallon
- McConaghy Drug , Inc
All providers in Mount Vernon, AL · Psychiatry Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.