| Joel Arthur Koeppen, | |
|
77 Windsor Way, Dallas, GA 30132-0577 | |
| (470) 747-8447 | |
| Not Available |
| Full Name | Joel Arthur Koeppen |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 7 Years |
| Location | 77 Windsor Way, Dallas, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720562440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR010091 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anodyne Pain Group Of North Georgia Llc | 9436530581 | 2 |
| Provider Name | Anodyne Pain Group Of North Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629701610 PECOS PAC ID: 9436530581 Enrollment ID: O20220720001810 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Arthur Koeppen, 77 Windsor Way, Dallas, GA 30132-0577 Ph: (470) 747-8447 | Joel Arthur Koeppen, 77 Windsor Way, Dallas, GA 30132-0577 Ph: (470) 747-8447 |
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