Earl R Koenig, MD is a medicare enrolled "Urology" physician in Utica, Michigan. His current practice location is
11051 Hall Rd, Suite 200, Utica, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 254-5759.
Earl R Koenig is licensed to practice in Michigan (license number 4301030802) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083679070.
Physician's Profile
Full Name | Earl R Koenig |
---|
Gender | Male |
---|
Speciality | Urology |
---|
Location | 11051 Hall Rd, Utica, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083679070
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 07/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 2365494788
- Enrollment ID: I20161025002058
Medical Identifiers
Medical identifiers for Earl R Koenig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083679070 | NPI | - | NPPES |
B45210 | Other | MI | HAP |
4391724 | Other | MI | AETNA |
5259095001 | Other | MI | CIGNA |
102426 | Other | MI | PRIORITY HEALTH |
340019484 | Other | MI | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 4301030802 (Michigan) | 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. Earl R Koenig 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 Address | Practice Location Address |
Earl R Koenig, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | Earl R Koenig, MD 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 Ph: (586) 254-5759 |
Reviews and Comments