Dr Mark Thomas Koehl, MD | |
8765 Lewis Ave, Temperance, MI 48182-9583 | |
(734) 847-3802 | |
(734) 847-3418 |
Full Name | Dr Mark Thomas Koehl |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 8765 Lewis Ave, Temperance, Michigan |
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 |
---|---|---|---|
1053399220 | NPI | - | NPPES |
2652573 | Medicaid | MI | |
05816 | Other | MI | HEALTH PLAN OF MICHIGAN |
700E86031 | Other | MI | BCBS OF MICHIGAN |
2047421 | Medicaid | OH | |
02214 | Other | MI | PARAMOUNT HEALTH CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301055332 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great Lakes Caring | Jackson, MI | Home health agency |
Promedica Toledo Hospital | Toledo, OH | Hospital |
Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Medical Center Of Michigan,inc | 2769575653 | 19 |
Entity Name | Family Medical Center Of Michigan,inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265591812 PECOS PAC ID: 2769575653 Enrollment ID: O20090223000000 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Thomas Koehl, MD 8765 Lewis Ave, Temperance, MI 48182-9583 Ph: (734) 847-3802 | Dr Mark Thomas Koehl, MD 8765 Lewis Ave, Temperance, MI 48182-9583 Ph: (734) 847-3802 |
Pamela J Hackl, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7443 Jackman Rd, Temperance, MI 48182 Phone: 734-850-0100 Fax: 734-850-0112 | |
Dr. Tasha Y Jenkins, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7302 Jackman Rd, Temperance, MI 48182 Phone: 734-850-8902 | |
Dr. Walter R Woodhouse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9050 Lewis Ave, Temperance, MI 48182 Phone: 734-850-8902 Fax: 734-850-8934 | |
Annette Elgin Neumann, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6642 Lewis Ave, 12, Temperance, MI 48182 Phone: 734-224-7171 Fax: 734-224-7181 | |
William J Demots, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-850-0520 |