Kevin G Koth, DO is a medicare enrolled "Orthopaedic Surgery" physician in Highland, Illinois. His current practice location is
12866 Troxler Ave, Highland, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 900-1070.
Kevin G Koth is licensed to practice in Illinois (license number 036132543) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972798049.
Physician's Profile
| Full Name | Kevin G Koth |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 12866 Troxler Ave, Highland, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- Kevin G Koth attended and graduated from in
NPI Data:
- NPI Number: 1972798049
- Provider Enumeration Date: 09/11/2007
- Last Update Date: 03/14/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin G Koth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972798049 | NPI | - | NPPES |
| 201114320A | Medicaid | IN | |
| 036-132543 | Medicaid | IL | |
| 000000777934 | Other | KY | ANTHEM |
| 7100213750 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 03476 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | 02003992A (Indiana) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 03476 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | 036132543 (Illinois) | 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. Kevin G Koth 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 |
|---|
Kevin G Koth, DO
Po Box 160,
Troy, IL 62294-0160
Ph: (618) 900-1070 | Kevin G Koth, DO
12866 Troxler Ave,
Highland, IL 62249-2806
Ph: (618) 900-1070 |
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