Travis Ryan Kooima, MD in Sun Prairie, WI - Medicare Psychiatry & Neurology

Travis Ryan Kooima, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Sun Prairie, Wisconsin. His current practice location is 1714 Fair Pheasant Way, Sun Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (712) 470-6699.

Travis Ryan Kooima is licensed to practice in Wisconsin (license number 81468) 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 1396323994.

Contact Information

	Travis Ryan Kooima, MD
	1714 Fair Pheasant Way, Sun Prairie, WI 53590-9419
	(712) 470-6699
	Not Available

Map and Direction

Physician's Profile

Full Name	Travis Ryan Kooima
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	1714 Fair Pheasant Way, Sun Prairie, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396323994
Provider Enumeration Date: 04/02/2021
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 0345642567
Enrollment ID: I20210712000893

Medical Identifiers

Medical identifiers for Travis Ryan Kooima such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396323994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	81468 (Wisconsin)	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. Travis Ryan Kooima 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
Travis Ryan Kooima, MD 4109 S Grand Slam Pl Apt 10, Sioux Falls, SD 57110-4850 Ph: (712) 470-6699	Travis Ryan Kooima, MD 1714 Fair Pheasant Way, Sun Prairie, WI 53590-9419 Ph: (712) 470-6699

Reviews and Comments

Psychiatry & Neurology Doctors in Sun Prairie, WI

Dr. Adebowale Mofikoya, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 425 W Main St Ste 201, Sun Prairie, WI 53590 Phone: 608-318-2233
Phillip L. Stall, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3500 Fax: 608-825-3793
Mihaela Pirau, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3794

Travis Ryan Kooima, MD - Medicare Psychiatry & Neurology in Sun Prairie, WI