| Kevin G Koth, DO | |
|
12866 Troxler Ave, Highland, IL 62249-2806 | |
| (618) 900-1070 | |
| (833) 992-2437 |
| Full Name | Kevin G Koth |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 12866 Troxler Ave, Highland, Illinois |
| 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 |
|---|---|---|---|
| 1972798049 | NPI | - | NPPES |
| 201114320A | Medicaid | IN | |
| 036-132543 | Medicaid | IL | |
| 000000777934 | Other | KY | ANTHEM |
| 7100213750 | Medicaid | KY |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Township Hospital | 0840195277 | 26 |
| Select Physical Therapy Holdings Inc | 9537076401 | 2148 |
| Jersey Community Hospital | 4587650445 | 64 |
| Entity Name | Salem Township Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295739548 PECOS PAC ID: 0840195277 Enrollment ID: O20031126000688 |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | K And L Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013516897 PECOS PAC ID: 3476967522 Enrollment ID: O20210201001025 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G Koth, DO Po Box 160, Troy, IL 62294-0160 Ph: (618) 900-1070 | Kevin G Koth, DO 12866 Troxler Ave, Highland, IL 62249-2806 Ph: (618) 900-1070 |
Dr. Felix Flores Ungacta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Apex Dr, Suite #1, Highland, IL 62249 Phone: 618-654-5400 Fax: 618-654-8787 |