Carly Rose Koenig, PA-C is a medicare enrolled "Physician Assistant" in Starkville, Mississippi. Her current practice location is
106 Strange Rd, Starkville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 910-3004.
Carly Rose Koenig is licensed to practice in Mississippi (license number PA00771) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114780491.
Provider's Profile
Full Name | Carly Rose Koenig |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 106 Strange Rd, Starkville, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114780491
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789029323
- Enrollment ID: I20240305002124
Medical Identifiers
Medical identifiers for Carly Rose Koenig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114780491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA00771 (Mississippi) | 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. Carly Rose 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 |
Carly Rose Koenig, PA-C 5 Sherrill St, Starkville, MS 39759-1113 Ph: (815) 520-2152 | Carly Rose Koenig, PA-C 106 Strange Rd, Starkville, MS 39759-2540 Ph: (601) 910-3004 |
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