Leah Koetje, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grand Rapids, Michigan. She went to Medical College Of Wisconsin and graduated in 2014 and has 10 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice West Michigan Anesthesia Pc and her current practice location is
3333 Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 364-4200.
Leah Koetje is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871908921.
Physician's Profile
Full Name | Leah Koetje |
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Gender | Female |
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Speciality | Anesthesiology |
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Experience | 10 Years |
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Location | 3333 Evergreen Dr Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Leah Koetje attended and graduated from Medical College Of Wisconsin in 2014
NPI Data:
- NPI Number: 1871908921
- Provider Enumeration Date: 06/27/2014
- Last Update Date: 07/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214228634
- Enrollment ID: I20190913000286
Medical Identifiers
Medical identifiers for Leah Koetje such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871908921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 4301118913 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
West Michigan Anesthesia Pc | 1355243551 | 193 |
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. Leah Koetje allows following entities to bill medicare on her behalf.
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
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Entity Name | West Michigan Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225016926 PECOS PAC ID: 1355243551 Enrollment ID: O20040504001256 |
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Entity Name | Amc Mobile Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376868372 PECOS PAC ID: 9830372812 Enrollment ID: O20110329000600 |
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Entity Name | Anesthesia Medical Consultants, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063710689 PECOS PAC ID: 3678751658 Enrollment ID: O20110621000722 |
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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. Leah Koetje 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 |
Leah Koetje, MD 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 284-3132 | Leah Koetje, MD 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200 |
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