Mrs Macenzie Jordyn Koning, AUD - Medicare Audiologist in Grand Rapids, MI

Mrs Macenzie Jordyn Koning, AUD is a medicare enrolled "Audiologist" provider in Grand Rapids, Michigan. Her current practice location is 751 Kenmoor Ave Se Ste B, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 954-1895.

Mrs Macenzie Jordyn Koning 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 1548797244.

Contact Information

Mrs Macenzie Jordyn Koning, AUD
751 Kenmoor Ave Se Ste B,
Grand Rapids, MI 49546-2391
(616) 954-1895
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Macenzie Jordyn Koning
GenderFemale
SpecialityAudiologist
Location751 Kenmoor Ave Se Ste B, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548797244
  • Provider Enumeration Date: 05/12/2017
  • Last Update Date: 05/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5092085779
  • Enrollment ID: I20170728001245

Medical Identifiers

Medical identifiers for Mrs Macenzie Jordyn Koning such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548797244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist (* (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. Mrs Macenzie Jordyn Koning allows following entities to bill medicare on her behalf.
Provider NameVan Doorne Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295950145
PECOS PAC ID: 5890686315
Enrollment ID: O20040323001781
Provider NameAudiology Distribution Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164707998
PECOS PAC ID: 0840459103
Enrollment ID: O20120814000185

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. Mrs Macenzie Jordyn Koning 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
Mrs Macenzie Jordyn Koning, AUD
8308 Clarkland Dr Se,
Alto, MI 49302-9412

Ph: (616) 293-9970
Mrs Macenzie Jordyn Koning, AUD
751 Kenmoor Ave Se Ste B,
Grand Rapids, MI 49546-2391

Ph: (616) 954-1895

Reviews and Comments


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Phone: 616-530-8883    Fax: 616-530-8997

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.