Dr Terren Burgess Koles, MD is a
General Practice physician based in Moraine, Ohio. Dr Terren Burgess Koles is licensed to practice in Ohio (license number 35050061K) and her current practice location is 2912 Springboro Rd, Suite, Moraine, Ohio. She can be reached at her office (for appointments etc.) via phone at
(513) 695-1468.
NPI number for Dr Terren Burgess Koles is 1699831693 and her current mailing address is 2912 Springboro Rd, Suite 201, Moraine, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699831693.
Physician's Profile
Full Name | Dr Terren Burgess Koles |
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Gender | Female |
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Speciality | General Practice |
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Location | 2912 Springboro Rd, Moraine, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699831693
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 04/13/2012
Medical Identifiers
Medical identifiers for Dr Terren Burgess Koles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699831693 | NPI | - | NPPES |
2933179 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 35050061K (Ohio) | Primary |
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 Terren Burgess Koles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Terren Burgess Koles, MD 2912 Springboro Rd, Suite 201, Moraine, OH 45439-1674 Ph: (937) 885-1927 | Dr Terren Burgess Koles, MD 2912 Springboro Rd, Suite, Moraine, OH 45439-1674 Ph: (513) 695-1468 |
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