Dr Seth Tyler Koehler, DO | |
2600 E Main St, Jackson, MO 63755-2473 | |
(573) 755-2310 | |
(573) 519-4675 |
Full Name | Dr Seth Tyler Koehler |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 2600 E Main St, Jackson, Missouri |
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 |
---|---|---|---|
1255782843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2018007982 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeasthealth | Cape girardeau, MO | Hospital |
Life Care Center Of Cape Girardeau | Cape girardeau, MO | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Missouri Health Network | 6507818044 | 18 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Southeast Missouri Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609095975 PECOS PAC ID: 6507818044 Enrollment ID: O20050412000011 |
Entity Name | Southeast Health Center Of Stoddard County Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Seth Tyler Koehler, DO 2600 E Main St, Jackson, MO 63755-2473 Ph: (573) 755-2310 | Dr Seth Tyler Koehler, DO 2600 E Main St, Jackson, MO 63755-2473 Ph: (573) 755-2310 |
Dr. Russell M Graham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 119 Pleasant Lake Ct, Jackson, MO 63755 Phone: 573-204-1046 | |
Dr. Julia Annette Pewitt, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2387 W Jackson Blvd, Jackson, MO 63755 Phone: 573-243-9288 Fax: 573-204-7074 | |
Laura E Glueck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-8408 Fax: 573-243-0445 | |
Ms. Melinda Sue Sorbello, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 S West Ln, Jackson, MO 63755 Phone: 573-225-5141 | |
Charles S Pewitt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2387 W Jackson Blvd, Jackson, MO 63755 Phone: 573-243-9288 Fax: 573-204-7074 | |
Jenny M Eichhorn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2130 E Jackson Blvd, Jackson, MO 63755 Phone: 573-243-8408 Fax: 573-243-0445 |