| Mikaela Jean Koenig, | |
|
513 3rd St Sw, Wagner, SD 57380-9675 | |
| (605) 384-3418 | |
| (605) 384-5240 |
| Full Name | Mikaela Jean Koenig |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 513 3rd St Sw, Wagner, South Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609253806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11242 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera At Home | Yankton, SD | Hospice |
| Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
| Avera St Benedict Health Center - Cah | Parkston, SD | Hospital |
| Lake Andes Senior Living | Lake andes, SD | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wagner Community Memorial Hospital | 3577459700 | 13 |
| Entity Name | Wagner Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740306992 PECOS PAC ID: 3577459700 Enrollment ID: O20040225000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikaela Jean Koenig, 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3418 | Mikaela Jean Koenig, 513 3rd St Sw, Wagner, SD 57380-9675 Ph: (605) 384-3418 |
Jarod Myer, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Dr. Gretchen Marie Esplund, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Washington Avenue North West, Wagner, SD 57380 Phone: 605-384-3621 Fax: 605-384-5229 | |
Tianna Rose Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240 |