| Dr Nathalie Koenig, DO | |
|
5480 Griffin Rd, Davie, FL 33314-4539 | |
| (954) 210-9770 | |
| Not Available |
| Full Name | Dr Nathalie Koenig |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 5480 Griffin Rd, Davie, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063421675 | NPI | - | NPPES |
| 379837200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS 6856 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Pembroke | Pembroke pines, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | South Florida Cardiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649704651 PECOS PAC ID: 6002710373 Enrollment ID: O20040412001751 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathalie Koenig, DO 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Nathalie Koenig, DO 5480 Griffin Rd, Davie, FL 33314-4539 Ph: (954) 210-9770 |
Dr. Gayan Poovendran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10650 W State Road 84 Ste 111, Davie, FL 33324 Phone: 305-209-1951 | |
Amalia Hernandez, N/A Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10550 W State Road 84 Lot 380, Davie, FL 33324 Phone: 786-488-0264 | |
Mr. Cheryl Terri Lochan, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6140 Sw 24th Place, Apt 105, Davie, FL 33314 Phone: 954-483-0135 | |
Dr. Camille Zampino Bentley, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4100 | |
Mrs. Fareeda Salma Baksh-deen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4100 | |
Dr. Alessandra Posey, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3301 College Ave, Davie, FL 33314 Phone: 954-262-5590 Fax: 954-262-5970 |