Dr O'neal Wilson Koger Jr, MD | |
30301 Woodward Ave, 120, Royal Oak, MI 48302 | |
(248) 435-6622 | |
(248) 435-7453 |
Full Name | Dr O'neal Wilson Koger Jr |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 40 Years |
Location | 30301 Woodward Ave, Royal Oak, 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 |
---|---|---|---|
1962599530 | NPI | - | NPPES |
P67011 | Other | MI | OLD BCN |
0706328251 | Other | MI | INDIV B |
3361759 | Medicaid | MI | |
070012496 | Other | MI | RAILROAD MEDICARE |
632825 | Other | MI | NEW BCN |
9679933 | Other | MI | CIGNA |
S38359 | Other | MI | HAP |
4113337 | Other | MI | AETNA |
070F37332 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 4301053536 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Entity Name | Koger Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942370507 PECOS PAC ID: 8921007758 Enrollment ID: O20061205000455 |
Mailing Address | Practice Location Address |
---|---|
Dr O'neal Wilson Koger Jr, MD 30301 Woodward Ave, 120, Royal Oak, MI 48302 Ph: (248) 435-6622 | Dr O'neal Wilson Koger Jr, MD 30301 Woodward Ave, 120, Royal Oak, MI 48302 Ph: (248) 435-6622 |
Dr. Janet Lynn Koprince, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 713 N Main St, Royal Oak, MI 48067 Phone: 248-548-7707 Fax: 248-548-7736 | |
Dr. Joanna Gammons, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 713 N Main St, Royal Oak, MI 48067 Phone: 248-548-7707 Fax: 248-548-7736 | |
Dominique Loggins, ESTHETICIAN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 486 N Main St Ste 35, Royal Oak, MI 48067 Phone: 248-733-3588 | |
Maureen T Cliffel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 26454 Woodward Ave, Ste 200, Royal Oak, MI 48067 Phone: 248-965-2919 Fax: 248-965-2905 |