Jeanette Dilan-koetje, DO is a medicare enrolled "Internal Medicine" physician in Eldon, Missouri. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lake Regional Health System and her current practice location is
304a E 4th St, Eldon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 392-5654.
Jeanette Dilan-koetje is licensed to practice in Missouri (license number 2023032035) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538499454.
Physician's Profile
| Full Name | Jeanette Dilan-koetje |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 19 Years |
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| Location | 304a E 4th St, Eldon, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeanette Dilan-koetje attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2005
NPI Data:
- NPI Number: 1538499454
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294979399
- Enrollment ID: I20230915001328
Medical Identifiers
Medical identifiers for Jeanette Dilan-koetje such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538499454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | E-13447 (Arkansas) | Secondary |
| 207P00000X | Emergency Medicine | OS13778 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 2023032035 (Missouri) | Primary |
| 207R00000X | Internal Medicine | 226611 (Mississippi) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Regional Health System | 9133026776 | 80 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeanette Dilan-koetje allows following entities to bill medicare on her behalf.
| Entity Name | Lake Regional Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147 |
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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. Jeanette Dilan-koetje 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 |
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Jeanette Dilan-koetje, DO
54 Hospital Dr,
Osage Beach, MO 65065-3050
Ph: (573) 348-8000 | Jeanette Dilan-koetje, DO
304a E 4th St,
Eldon, MO 65026-1808
Ph: (573) 392-5654 |
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