Mr Paul Roger Koger Ii, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Allardt, Tennessee. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
2009 Michigan Avenue, Allardt, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 752-9458.
Mr Paul Roger Koger Ii is licensed to practice in Tennessee (license number APN0000022639) 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 1235659137.
Provider's Profile
Full Name | Mr Paul Roger Koger Ii |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 8 Years |
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Location | 2009 Michigan Avenue, Allardt, Tennessee |
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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:
- Mr Paul Roger Koger Ii graduated from nursing school in 2016
NPI Data:
- NPI Number: 1235659137
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 08/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921357773
- Enrollment ID: I20180828000907
Medical Identifiers
Medical identifiers for Mr Paul Roger Koger Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235659137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN0000022639 (Tennessee) | Primary |
Medical Facilities Affiliation
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. Mr Paul Roger Koger Ii allows following entities to bill medicare on his behalf.
Entity Name | Allardt Family Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548887482 PECOS PAC ID: 8123445178 Enrollment ID: O20200904001193 |
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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. Mr Paul Roger Koger Ii 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 |
Mr Paul Roger Koger Ii, FNP-C Po Box 190, Allardt, TN 38504-0190 Ph: (931) 752-9485 | Mr Paul Roger Koger Ii, FNP-C 2009 Michigan Avenue, Allardt, TN 38504 Ph: (931) 752-9458 |
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