Dr Stephanie Leighann Koonce, MD is a medicare enrolled "Plastic Surgery" physician in Rogers, Arkansas. Her current practice location is
3301 S Market St Ste 205, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 276-6888.
Dr Stephanie Leighann Koonce is licensed to practice in Arkansas (license number E-11532) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750612727.
Physician's Profile
| Full Name | Dr Stephanie Leighann Koonce |
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| Gender | Female |
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| Speciality | Plastic Surgery |
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| Location | 3301 S Market St Ste 205, Rogers, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750612727
- Provider Enumeration Date: 01/14/2010
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587808290
- Enrollment ID: I20180629000148
Medical Identifiers
Medical identifiers for Dr Stephanie Leighann Koonce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750612727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | TRN15079 (Florida) | Secondary |
| 208200000X | Plastic Surgery | E-11532 (Arkansas) | Primary |
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 Stephanie Leighann Koonce allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic Fort Smith Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
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| Entity Name | Stephanie L Koonce Md |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457071060 PECOS PAC ID: 9638546831 Enrollment ID: O20221101000516 |
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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 Stephanie Leighann Koonce 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 Stephanie Leighann Koonce, MD 8401 Mile Tree Dr, Fort Smith, AR 72903-4320 Ph: (479) 719-0862 | Dr Stephanie Leighann Koonce, MD 3301 S Market St Ste 205, Rogers, AR 72758-7700 Ph: (479) 276-6888 |
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