| Jason Joseph Koenig, NP-C | |
|
715 E Western Reserve Rd, Poland, OH 44514-3358 | |
| (330) 726-3204 | |
| Not Available |
| Full Name | Jason Joseph Koenig |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 715 E Western Reserve Rd, Poland, Ohio |
| 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 |
|---|---|---|---|
| 1225780026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0030593 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 388 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Joseph Koenig, NP-C 501 Woodbury Ct, Canfield, OH 44406-9632 Ph: (330) 842-1584 | Jason Joseph Koenig, NP-C 715 E Western Reserve Rd, Poland, OH 44514-3358 Ph: (330) 726-3204 |
Amanda L. Roeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd Fl 2, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-306-8319 | |
Nicole Lynn Sesser, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Lorene Martin, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Southwestern Run, Poland, OH 44514 Phone: 330-729-0059 Fax: 330-729-9297 | |
Jodi Micsky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Mrs. Gabrielle Eisel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9190 Springfield Rd Apt 19c, Poland, OH 44514 Phone: 234-567-1698 | |
Heather K Heutsche, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Sahara Trl, Poland, OH 44514 Phone: 330-729-8970 Fax: 330-729-8971 |