Dr Michael D Koller, DMD is a
Dentist - General Practice based in Lewisburg, Kentucky. Dr Michael D Koller is licensed to practice in Kentucky (license number 6230) and his current practice location is
288 N Main St, Lewisburg, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 755-4899.
NPI number for Dr Michael D Koller is 1275688020 and his current mailing address is Po Box 40, Lewisburg, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275688020.
Healthcare Provider's Profile
Full Name | Dr Michael D Koller |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 288 N Main St, Lewisburg, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275688020
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Michael D Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275688020 | NPI | - | NPPES |
60062304 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6230 (Kentucky) | 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 Michael D Koller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael D Koller, DMD Po Box 40, Lewisburg, KY 42256-0040 Ph: (270) 755-4899 | Dr Michael D Koller, DMD 288 N Main St, Lewisburg, KY 42256 Ph: (270) 755-4899 |
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