| John Koehler, MD | |
|
1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | |
| (321) 312-4580 | |
| (321) 914-4053 |
| Full Name | John Koehler |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1840 Eldron Blvd Se Ste 1, Palm Bay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144207366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PT0002X | Emergency Medicine - Medical Toxicology | 36072658 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | ME133563 (Florida) | Primary |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| Entity Name | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Mailing Address | Practice Location Address |
|---|---|
| John Koehler, MD 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 Ph: (321) 312-4580 | John Koehler, MD 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 Ph: (321) 312-4580 |
Anthony Tucker, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909 Phone: 321-312-4580 Fax: 321-914-4053 | |
Dr. David Williams, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 490 Centre Lake Dr Ne, Suite 200, Palm Bay, FL 32907 Phone: 800-476-8646 Fax: 919-382-3210 |