Dr Justin Jacob Koenig, DO | |
621 Memorial Dr Ste 502, South Bend, IN 46601 | |
(574) 647-5875 | |
(574) 647-5878 |
Full Name | Dr Justin Jacob Koenig |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 621 Memorial Dr Ste 502, South Bend, Indiana |
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 |
---|---|---|---|
1821314360 | NPI | - | NPPES |
300024549 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 02005590A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elkhart General Hospital | Elkhart, IN | Hospital |
Memorial Hospital Of South Bend | South bend, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Jacob Koenig, DO 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () - | Dr Justin Jacob Koenig, DO 621 Memorial Dr Ste 502, South Bend, IN 46601 Ph: (574) 647-5875 |
Marie E Unruh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210 | |
Dr. Robert G. Credi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878 | |
Scott G Thomas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, Suite 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878 | |
Michael C Rotkis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1887 | |
William Anderson, MD Surgery Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 515-643-5802 | |
George B Friend, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr, South Bend, IN 46601 Phone: 574-236-1888 Fax: 574-236-1888 | |
Daniel P. Srikureja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 502, South Bend, IN 46601 Phone: 574-647-5875 Fax: 574-647-5878 |