Coral L Couchenour, DO is a medicare enrolled "Family Medicine" physician in Anderson, Missouri. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sgoh Acquisition Inc and her current practice location is
104 E. Main Street, Anderson, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 845-6984.
Coral L Couchenour is licensed to practice in Missouri (license number 2004017460) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538169131.
Physician's Profile
| Full Name | Coral L Couchenour |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 104 E. Main Street, Anderson, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Coral L Couchenour graduated from medical school in 2003
NPI Data:
- NPI Number: 1538169131
- Provider Enumeration Date: 07/26/2005
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214966753
- Enrollment ID: I20050805000043
Medical Identifiers
Medical identifiers for Coral L Couchenour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538169131 | NPI | - | NPPES |
| 207361601 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2004017460 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sgoh Acquisition Inc | 5092616276 | 75 |
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. Coral L Couchenour allows following entities to bill medicare on her behalf.
| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
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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. Coral L Couchenour 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 |
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Coral L Couchenour, DO
Po Box 750, 104 E. Main Street,
Anderson, MO 64831-0750
Ph: (417) 845-6984 | Coral L Couchenour, DO
104 E. Main Street,
Anderson, MO 64831-0750
Ph: (417) 845-6984 |
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