| Johnene K Koganti, MS, PA-C | |
|
3901 Beaubien St, Anesthesiology Department (pain Clinic), Detroit, MI 48201-2119 | |
| (248) 376-4016 | |
| Not Available |
| Full Name | Johnene K Koganti |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 3901 Beaubien St, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528298692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005495 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 526 |
| Nsa Pain Services Of Michigan Iii, Pllc | 8921428996 | 17 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnene K Koganti, MS, PA-C 1270 Dorchester Ave, Bloomfield, MI 48302-0019 Ph: (248) 376-4016 | Johnene K Koganti, MS, PA-C 3901 Beaubien St, Anesthesiology Department (pain Clinic), Detroit, MI 48201-2119 Ph: (248) 376-4016 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 | |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Sybrena Evans, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-833-4490 | |
Mrs. Kimberly Louise Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-6870 | |
Tiffany Drane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Basma J Alobahi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6100 Dorothy St, Detroit, MI 48211 Phone: 313-921-5881 | |
Amy G. Connolly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20400 W Warren Ave, Detroit, MI 48228 Phone: 313-271-0500 Fax: 313-271-9313 |