Jason Joseph Koenig, NP-C | |
715 E Western Reserve Rd, Poland, OH 44514-3358 | |
(330) 726-3204 | |
Not Available |
Full Name | Jason Joseph Koenig |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 715 E Western Reserve Rd, Poland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225780026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0030593 (Ohio) | Primary |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
---|---|
Jason Joseph Koenig, NP-C 501 Woodbury Ct, Canfield, OH 44406-9632 Ph: (330) 842-1584 | Jason Joseph Koenig, NP-C 715 E Western Reserve Rd, Poland, OH 44514-3358 Ph: (330) 726-3204 |
Amanda L. Roeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd Fl 2, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-306-8319 | |
Tanya Sue Huckshold, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Lorene Martin, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Southwestern Run, Poland, OH 44514 Phone: 330-729-0059 Fax: 330-729-9297 | |
Jodi Micsky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Mrs. Gabrielle Eisel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9190 Springfield Rd Apt 19c, Poland, OH 44514 Phone: 234-567-1698 | |
Heather K Heutsche, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Sahara Trl, Poland, OH 44514 Phone: 330-729-8970 Fax: 330-729-8971 |