Molly Lianne Koeneman, DPT is a
Physical Medicine & Rehabilitation physician based in Moultrie, Georgia. Molly Lianne Koeneman is licensed to practice in Virginia (license number 2305214019) and her current practice location is 3131 S Main St, Moultrie, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 890-3553.
NPI number for Molly Lianne Koeneman is 1629667654 and her current mailing address is Po Box 2876, Moultrie, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629667654.
Physician's Profile
Full Name | Molly Lianne Koeneman |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 3131 S Main St, Moultrie, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629667654
- Provider Enumeration Date: 01/14/2021
- Last Update Date: 01/19/2021
Medical Identifiers
Medical identifiers for Molly Lianne Koeneman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629667654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 2305214019 (Virginia) | Primary |
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. Molly Lianne Koeneman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Molly Lianne Koeneman, DPT Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131 | Molly Lianne Koeneman, DPT 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 890-3553 |
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