Mrs Deveonna Koenig, LPN is a
Licensed Practical Nurse based in Blue Creek, Ohio. Mrs Deveonna Koenig is licensed to practice in Ohio (license number PN 136084) and her current practice location is
1900 Cassel Run Rd, Blue Creek, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 544-8829.
NPI number for Mrs Deveonna Koenig is 1619203643 and her current mailing address is 1900 Cassel Run Rd, Blue Creek, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619203643.
Provider's Profile
Full Name | Mrs Deveonna Koenig |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1900 Cassel Run Rd, Blue Creek, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619203643
- Provider Enumeration Date: 10/27/2009
- Last Update Date: 10/27/2009
Medical Identifiers
Medical identifiers for Mrs Deveonna Koenig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619203643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN 136084 (Ohio) | 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. Mrs Deveonna Koenig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Deveonna Koenig, LPN 1900 Cassel Run Rd, Blue Creek, OH 45616-9795 Ph: (937) 544-8829 | Mrs Deveonna Koenig, LPN 1900 Cassel Run Rd, Blue Creek, OH 45616-9795 Ph: (937) 544-8829 |
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