| Dr O'neal Wilson Koger Jr, MD | |
|
30301 Woodward Ave, 120, Royal Oak, MI 48302 | |
| (248) 435-6622 | |
| (248) 435-7453 |
| Full Name | Dr O'neal Wilson Koger Jr |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 41 Years |
| Location | 30301 Woodward Ave, Royal Oak, Michigan |
| 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 |
|---|---|---|---|
| 1962599530 | NPI | - | NPPES |
| P67011 | Other | MI | OLD BCN |
| 0706328251 | Other | MI | INDIV B |
| 3361759 | Medicaid | MI | |
| 070012496 | Other | MI | RAILROAD MEDICARE |
| 632825 | Other | MI | NEW BCN |
| 9679933 | Other | MI | CIGNA |
| S38359 | Other | MI | HAP |
| 4113337 | Other | MI | AETNA |
| 070F37332 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301053536 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Entity Name | Koger Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942370507 PECOS PAC ID: 8921007758 Enrollment ID: O20061205000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr O'neal Wilson Koger Jr, MD 30301 Woodward Ave, 120, Royal Oak, MI 48302 Ph: (248) 435-6622 | Dr O'neal Wilson Koger Jr, MD 30301 Woodward Ave, 120, Royal Oak, MI 48302 Ph: (248) 435-6622 |
Dr. Bryan Daniel Sofen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 27776 Woodward Ave, Royal Oak, MI 48067 Phone: 248-355-5047 Fax: 248-355-3511 | |
Dr. Janet Lynn Koprince, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 713 N Main St, Royal Oak, MI 48067 Phone: 248-548-7707 Fax: 248-548-7736 | |
Dr. Joanna Gammons, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 713 N Main St, Royal Oak, MI 48067 Phone: 248-548-7707 Fax: 248-548-7736 | |
Dominique Loggins, ESTHETICIAN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 486 N Main St Ste 35, Royal Oak, MI 48067 Phone: 248-733-3588 | |
Maureen T Cliffel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 26454 Woodward Ave, Ste 200, Royal Oak, MI 48067 Phone: 248-965-2919 Fax: 248-965-2905 |