Pittsburg Family Medicine Llc is a medicare enrolled primary clinic (Family Medicine) in Pittsburgh, Kansas. The current practice location for Pittsburg Family Medicine Llc is 2401 South Tucker Ave, Ste 2, Pittsburgh, Kansas. For appointments, you can reach them via phone at
(620) 235-1043. The mailing address for Pittsburg Family Medicine Llc is 2401 South Tucker Ave, Ste 2, Pittsburgh, Kansas and phone number is (620) 235-1043.
Pittsburg Family Medicine Llc is licensed to practice in Kansas (license number 23565). The clinic also participates in the medicare program and its
NPI number is 1740398924. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(620) 235-1043.
Primary Care Clinic Profile
| Full Name | Pittsburg Family Medicine Llc |
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| Speciality | Family Medicine |
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| Location | 2401 South Tucker Ave, Pittsburgh, Kansas |
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| Authorized Official Name and Position | Daniel J Koehn (PHYSICIAN) |
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| Authorized Official Contact | 6202351043 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pittsburg Family Medicine Llc
2401 South Tucker Ave
Ste 2
Pittsburgh
KS 66762
Ph: (620) 235-1043 | Pittsburg Family Medicine Llc
2401 South Tucker Ave
Ste 2
Pittsburgh
KS 66762
Ph: (620) 235-1043 |
NPI Details:
| NPI Number | 1740398924 |
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| Provider Enumeration Date | 08/28/2006 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3971673096 |
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| Medicare Enrollment ID | O20080602000494 |
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Medical Identifiers
Medical identifiers for Pittsburg Family Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740398924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 23565 (Kansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pittsburg Family Medicine Llc acts as a billing entity for following providers:
| Provider Name | Daniel J Koehn |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1164528220
PECOS PAC ID: 6709956824
Enrollment ID: I20080602000487 |
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