Dr Kelli Denise Koons, MD - Medicare Internal Medicine in Shawnee, OK

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Dr Kelli Denise Koons, MD is a medicare enrolled "Internal Medicine" physician in Shawnee, Oklahoma. She went to University Of Oklahoma College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Shawnee Medical Center Clinic, Inc., Saints Medical Group, Llc and her current practice location is 3315 Kethley Rd, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 273-5801.

Dr Kelli Denise Koons is licensed to practice in Oklahoma (license number 22002) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134169295.

Contact Information

Dr Kelli Denise Koons, MD
3315 Kethley Rd,
Shawnee, OK 74804-9638
(405) 273-5801
(405) 878-3814

Map and Direction




Physician's Profile

Full NameDr Kelli Denise Koons
GenderFemale
SpecialityInternal Medicine
Experience24 Years
Location3315 Kethley Rd, Shawnee, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelli Denise Koons attended and graduated from University Of Oklahoma College Of Medicine in 2000
  NPI Data:
  • NPI Number: 1134169295
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 08/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7618965542
  • Enrollment ID: I20040430001298

Medical Identifiers

Medical identifiers for Dr Kelli Denise Koons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134169295NPI-NPPES
100103130BMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 22002 (Oklahoma)Primary
208000000XPediatrics 22002 (Oklahoma)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Heartland Home Health Care And HospiceShawnee, OKHome health agency
Heartland Hospice ServicesShawnee, OKHospice
Ssm Health St Anthony Hospital - ShawneeShawnee, OKHospital
Ssm Health St Anthony Hospital - Oklahoma CityOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shawnee Medical Center Clinic, Inc.387040543476
Saints Medical Group, Llc7012914898358

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. Dr Kelli Denise Koons allows following entities to bill medicare on her behalf.
Entity NameShawnee Medical Center Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881648285
PECOS PAC ID: 3870405434
Enrollment ID: O20031103000239
Entity NameSsm Health Care Of Oklahoma, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033283932
PECOS PAC ID: 6709771207
Enrollment ID: O20040216000184
Entity NameSaints Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437195922
PECOS PAC ID: 7012914898
Enrollment ID: O20061109000189

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 Kelli Denise Koons 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 AddressPractice Location Address
Dr Kelli Denise Koons, MD
Po Box 849,
Shawnee, OK 74802-0849

Ph: (405) 273-5801		Dr Kelli Denise Koons, MD
3315 Kethley Rd,
Shawnee, OK 74804-9638

Ph: (405) 273-5801

Reviews and Comments


Internal Medicine Doctors in Shawnee, OK

Dr. Jeremy Patrick Holter, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Raphael C Francisco, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    
Dr. Michael W. Butcher, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Dr. Isma Nusrat Javed, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804
Phone: 404-273-5801    
Dr. Phillip A. Haddad, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814
Harold Stanley Wood, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3315 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.