| Michael G Koelsch, MD | |
|
208 Corwin Lane, Kokomo, IN 46902-6612 | |
| (765) 453-8567 | |
| Not Available |
| Full Name | Michael G Koelsch |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 35 Years |
| Location | 208 Corwin Lane, Kokomo, Indiana |
| 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 |
|---|---|---|---|
| 1053336297 | NPI | - | NPPES |
| P01347724 | Other | IN | MEDICARE RR PTAN |
| 000000083152 | Other | BCBS PIN | |
| 224040199 | Other | IN | MEDICARE PTAN |
| 770002492 | Other | RAILROAD MEDICARE PIN | |
| 200251540A | Medicaid | IN | |
| P01270947 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01049321A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 314 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Koelsch, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | Michael G Koelsch, MD 208 Corwin Lane, Kokomo, IN 46902-6612 Ph: (765) 453-8567 |
Bernard Fogelson, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3611 S Reed Rd, Suite 103, Kokomo, IN 46902 Phone: 765-864-5786 Fax: 765-864-5787 |