| Gary A Koenig, MD | |
|
1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 | |
| (402) 354-0120 | |
| (402) 354-0125 |
| Full Name | Gary A Koenig |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 44 Years |
| Location | 1120 N 103rd Plz, Omaha, Nebraska |
| 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 |
|---|---|---|---|
| 1942204656 | NPI | - | NPPES |
| 10026480109 | Medicaid | NE | |
| 1942204656 | Medicaid | IA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shenandoah Medical Center | Shenandoah, IA | Hospital |
| The Nebraska Methodist Hospital | Omaha, NE | Hospital |
| Nemaha County Hospital | Auburn, NE | Hospital |
| Chi Health Lakeside | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 536 |
| Physicians Clinic Inc | 4880506062 | 536 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Koenig, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Gary A Koenig, MD 1120 N 103rd Plz, Suite 102, Omaha, NE 68114-1114 Ph: (402) 354-0120 |
Sara Michelle May, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Emile 42nd St, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 | |
Mr. Roger Hiro Kobayashi, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2808 S 80 Ave, Ste 210, Omaha, NE 68124 Phone: 402-391-1800 Fax: 402-391-1563 | |
Dr. Againdra K Bewtra, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St Ste 5730, Omaha, NE 68131 Phone: 402-280-4403 | |
Dr. Jaine Brownell, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 16945 Frances St, Omaha, NE 68130 Phone: 402-397-7400 Fax: 402-397-0115 | |
Joel Kent Van De Graaff, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-4015 Fax: 402-559-8715 | |
Mr. Brett Van Kettelhut, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2808 S 80 Ave, Ste 210, Omaha, NE 68124 Phone: 402-391-1800 Fax: 402-391-1563 | |
Dr. Teodoro Segura, MD, PHD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 16945 Frances St, Omaha, NE 68130 Phone: 402-397-7400 Fax: 402-397-0115 |