Kelly Lee Koenig, DO | |
120 E Harris Ave, San Angelo, TX 76903-5904 | |
(325) 658-1511 | |
(325) 481-2166 |
Full Name | Kelly Lee Koenig |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 120 E Harris Ave, San Angelo, Texas |
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 |
---|---|---|---|
1861710576 | NPI | - | NPPES |
8EN017 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | Q0294 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shannon Clinic | 0840103727 | 411 |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
---|---|
Kelly Lee Koenig, DO Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Kelly Lee Koenig, DO 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 658-1511 |
Dr. Lance Eliot Hafter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-2104 Fax: 325-659-0180 | |
Michael Patrick Strayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Kinickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Marvin Walter Carroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Dr. Michael Raynard Magoon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 210-930-4504 | |
Dr. Scott David Hodge, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Dr. Samuel Joseph Kasberg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904 Phone: 325-947-6960 Fax: 325-947-6968 | |
Brett Jason Nile, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Rigdecrest Lane, San Angelo, TX 76904 Phone: 324-245-4141 Fax: 325-245-4009 |