Dr Michael Kooistra Jr, MD in Auburn, IN - Medicare Family Practice

Dr Michael Kooistra Jr, MD is a medicare enrolled "Family Medicine" physician in Auburn, Indiana. He went to Indiana University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Parkview Health System Inc and his current practice location is 1306 E 7th St Ste A, Auburn, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 925-1255.

Dr Michael Kooistra Jr is licensed to practice in Indiana (license number 01045333A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508864380.

Contact Information

	Dr Michael Kooistra Jr, MD
	1306 E 7th St Ste A, Auburn, IN 46706-2537
	(260) 925-1255
	(260) 925-1256

Map and Direction

Physician's Profile

Full Name	Dr Michael Kooistra Jr
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	1306 E 7th St Ste A, Auburn, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael Kooistra Jr attended and graduated from Indiana University School Of Medicine in 1995

NPI Data:

NPI Number: 1508864380
Provider Enumeration Date: 07/14/2005
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 8527166719
Enrollment ID: I20070612000566

Medical Identifiers

Medical identifiers for Dr Michael Kooistra Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508864380	NPI	-	NPPES
200115800	Medicaid	IN
01045333A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01045333A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohioans Home Healthcare, Inc	Perrysburg, OH	Home health agency
Elara Caring	Fort wayne, IN	Home health agency
Dekalb Health	Auburn, IN	Hospital
Community Hospitals And Wellness Centers	Bryan, OH	Hospital
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Community Hospitals And Wellness Centers	Montpelier, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Health System Inc	2163336967	1196

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. Dr Michael Kooistra Jr allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Community Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20081210000030

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. Dr Michael Kooistra Jr 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
Dr Michael Kooistra Jr, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Dr Michael Kooistra Jr, MD 1306 E 7th St Ste A, Auburn, IN 46706-2537 Ph: (260) 925-1255

Reviews and Comments

Family Medicine Doctors in Auburn, IN

Stephen Leroy Cole, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 E. 7th Street, Suite F, Auburn, IN 46706 Phone: 260-925-9511 Fax: 260-925-7626
Zachariah John Slattery, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1314 E 7th St Ste 103, Auburn, IN 46706 Phone: 260-927-1982 Fax: 260-927-8380
Dr. Philip J Chase, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1314 E 7th St Ste 101, Auburn, IN 46706 Phone: 260-925-0403 Fax: 260-925-9545
Dr. Mark Steven Souder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 E 7th St, Auburn, IN 46706 Phone: 260-925-0305 Fax: 260-925-6041
Mrs. Trina C Chapman-smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 E 7th St Ste F, Auburn, IN 46706 Phone: 260-925-0403 Fax: 260-925-9545
Glenn Alan Glogas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1316 E 7th St, Second Floor, Auburn, IN 46706 Phone: 260-424-9000 Fax: 260-425-3029

Dr Michael Kooistra Jr, MD - Medicare Family Practice in Auburn, IN