Daniel Allen Koontz, MD is a medicare enrolled "Family Medicine" physician in Pelzer, South Carolina. His current practice location is
323 Lebby St, Pelzer, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 947-6666.
Daniel Allen Koontz is licensed to practice in South Carolina (license number 11429) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487681805.
Physician's Profile
| Full Name | Daniel Allen Koontz |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 323 Lebby St, Pelzer, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487681805
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 09/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 8022019082
- Enrollment ID: I20070118000421
Medical Identifiers
Medical identifiers for Daniel Allen Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487681805 | NPI | - | NPPES |
| P01072951 | Other | SC | RR MEDICARE |
| 114290 | Medicaid | SC | |
| 570804286 | Other | SC | FEDERAL TAX ID |
| 060035928 | Other | SC | MEDICARE RAILROAD |
| 003111796A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 11429 (South Carolina) | 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. Daniel Allen Koontz allows following entities to bill medicare on his behalf.
| Entity Name | Anmed Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639102270
PECOS PAC ID: 1951215243
Enrollment ID: O20040130000302 |
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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. Daniel Allen Koontz 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 |
|---|
Daniel Allen Koontz, MD
323 Lebby St,
Pelzer, SC 29669-1754
Ph: (864) 947-6666 | Daniel Allen Koontz, MD
323 Lebby St,
Pelzer, SC 29669-1754
Ph: (864) 947-6666 |
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