Dr Antonia Peregonov Koob, DDS in Austin, TX

Dr Antonia Peregonov Koob, DDS is a medicare enrolled "Dentist - General Practice" provider in Austin, Texas. Her current practice location is 2500 W Parmer Ln, Suite 140, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 837-6100.

Dr Antonia Peregonov Koob is licensed to practice in Texas (license number 20366) 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 1649280421.

Contact Information

	Dr Antonia Peregonov Koob, DDS
	2500 W Parmer Ln, Suite 140, Austin, TX 78727-4233
	(512) 837-6100
	(512) 733-5600

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Antonia Peregonov Koob
Gender	Female
Speciality	Dentist - General Practice
Location	2500 W Parmer Ln, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649280421
Provider Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476814112
Enrollment ID: I20180221000762

Medical Identifiers

Medical identifiers for Dr Antonia Peregonov Koob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649280421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	20366 (Texas)	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 Antonia Peregonov Koob 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 Address	Practice Location Address
Dr Antonia Peregonov Koob, DDS 2508 Merion Cv, Round Rock, TX 78664-6231 Ph: (512) 238-9742	Dr Antonia Peregonov Koob, DDS 2500 W Parmer Ln, Suite 140, Austin, TX 78727-4233 Ph: (512) 837-6100

Reviews and Comments

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Dr Antonia Peregonov Koob, DDS - Medicare Dentist in Austin, TX