David John Koenig, MD | |
240 Hospital Dr Ne, Bolivia, NC 28422-8346 | |
(910) 721-2070 | |
(910) 721-2074 |
Full Name | David John Koenig |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 35 Years |
Location | 240 Hospital Dr Ne, Bolivia, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811975469 | NPI | - | NPPES |
2107425 | Medicaid | IA | |
110229063 | Other | IA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 297471 (Iowa) | Secondary |
207R00000X | Internal Medicine | R8N75 (Missouri) | Secondary |
208M00000X | Hospitalist | 2009-01147 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Hospice Care | Pembroke, NC | Hospice |
Novant Health Brunswick Medical Center | Supply, NC | Hospital |
New Hanover Regional Medical Center | Wilmington, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Brunswick Community Hospital Llc | 9335150895 | 36 |
Entity Name | J. Arthur Dosher Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275660342 PECOS PAC ID: 8921910324 Enrollment ID: O20031104000362 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Brunswick Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
Mailing Address | Practice Location Address |
---|---|
David John Koenig, MD 240 Hospital Dr Ne, Bolivia, NC 28422-8346 Ph: (910) 721-2070 | David John Koenig, MD 240 Hospital Dr Ne, Bolivia, NC 28422-8346 Ph: (910) 721-2070 |
Dr. Chandana Bhimmanapalli, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 |