Donna L Koenig, FNP | |
5213 Godfrey Rd., #110, Godfrey, IL 62035 | |
(618) 619-3330 | |
(618) 619-3385 |
Full Name | Donna L Koenig |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 5213 Godfrey Rd., Godfrey, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871564898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209001008 (Illinois) | Primary |
Entity Name | Fairview Heights Medical Group Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
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Donna L Koenig, FNP 5213 Godfrey Rd., #110, Godfrey, IL 62035 Ph: (618) 619-3330 | Donna L Koenig, FNP 5213 Godfrey Rd., #110, Godfrey, IL 62035 Ph: (618) 619-3330 |
Christen E Rincker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 | |
Christina Varady, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5303 Whispering Woods Dr, Godfrey, IL 62035 Phone: 314-541-8248 | |
Mrs. Sarah Ann Becker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Godfrey Rd, Ste B, Godfrey, IL 62035 Phone: 618-463-7800 Fax: 618-463-0073 | |
Ms. Benedicta I Odemerho, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5800 Godfrey Rd, Fobes 1525, Godfrey, IL 62035 Phone: 618-468-6800 Fax: 618-468-7410 | |
Briana Waldeck, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 Fax: 618-619-3390 | |
Bethany E Huelskoetter, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6702 Godfrey Road, Godfrey, IL 62035 Phone: 618-467-1520 Fax: 618-467-1521 | |
Dana Renee Longmeyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5800 Godfrey Rd, Godfrey, IL 62035 Phone: 618-468-4431 |