Lassina Will Koidima, AGACNP in Statesboro, GA

Lassina Will Koidima, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Statesboro, Georgia. He went to University Of South Alabama College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cogent Healthcare Of Georgia Pc, Statesboro Hma Physician Management Llc and his current practice location is 1635 Pondside Dr, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 507-9077.

Lassina Will Koidima is licensed to practice in Georgia (license number RN220878) 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 1710548771.

Contact Information

	Lassina Will Koidima, AGACNP
	1635 Pondside Dr, Statesboro, GA 30458-3777
	(912) 507-9077
	Not Available

Map and Direction

Provider's Profile

Full Name	Lassina Will Koidima
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1635 Pondside Dr, Statesboro, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lassina Will Koidima attended and graduated from University Of South Alabama College Of Medicine in 2019

NPI Data:

NPI Number: 1710548771
Provider Enumeration Date: 06/21/2019
Last Update Date: 11/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8426481458
Enrollment ID: I20191205002127

Medical Identifiers

Medical identifiers for Lassina Will Koidima such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710548771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN220878 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Coliseum Northside Hospital	Macon, GA	Hospital
East Georgia Regional Medical Center	Statesboro, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cogent Healthcare Of Georgia Pc	2961483607	231
Statesboro Hma Physician Management Llc	8820196058	28

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lassina Will Koidima allows following entities to bill medicare on his behalf.

Entity Name	Cogent Healthcare Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856

Entity Name	Statesboro Hma Physician Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558412023 PECOS PAC ID: 8820196058 Enrollment ID: O20070612000028

Entity Name	Effingham Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811962756 PECOS PAC ID: 1254628092 Enrollment ID: O20170113001163

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. Lassina Will Koidima 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
Lassina Will Koidima, AGACNP 1635 Pondside Dr, Statesboro, GA 30458-3777 Ph: (912) 507-9077	Lassina Will Koidima, AGACNP 1635 Pondside Dr, Statesboro, GA 30458-3777 Ph: (912) 507-9077

Reviews and Comments

Nurse Practitioner Nurses in Statesboro, GA

Jenna Cottrell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090

Lassina Will Koidima, AGACNP - Medicare Nurse Practitioner in Statesboro, GA