| Dr Mark Alan Koenig, DO | |
|
765 Route 25a Ste 6, Miller Place, NY 11764-2649 | |
| (631) 320-3200 | |
| (631) 350-7798 |
| Full Name | Dr Mark Alan Koenig |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 765 Route 25a Ste 6, Miller Place, New York |
| 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 |
|---|---|---|---|
| 1831252964 | NPI | - | NPPES |
| 01263721 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 174687 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Home Care | Farmingdale, NY | Home health agency |
| Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
| Constellation Home Care | Syosset, NY | Home health agency |
| Tender Loving Care, An Amedisys Company | Medford, NY | Home health agency |
| St Charles Hospital | Port jefferson, NY | Hospital |
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caremed Primary And Urgent Care Pc | 8224353727 | 21 |
| Entity Name | Caremed Primary And Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487050134 PECOS PAC ID: 8224353727 Enrollment ID: O20150204000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Alan Koenig, DO 1 E Roe Blvd, Patchogue, NY 11772-2631 Ph: (631) 475-3900 | Dr Mark Alan Koenig, DO 765 Route 25a Ste 6, Miller Place, NY 11764-2649 Ph: (631) 320-3200 |
Dr. Mark David Wasserman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Route 25a, Miller Place, NY 11764 Phone: 631-744-6666 Fax: 631-744-0525 | |
Dr. Joseph Michael Venezia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 765 Route 25a, Miller Place, NY 11764 Phone: 631-821-0505 Fax: 631-821-5065 |