Lauren Koenig, NP is a medicare enrolled "Nurse Practitioner" in New Haven, Michigan. Her current practice location is
58144 Gratiot Ave, New Haven, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 749-5197.
Lauren Koenig is licensed to practice in Michigan (license number 4704314525) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003569310.
Provider's Profile
| Full Name | Lauren Koenig |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 58144 Gratiot Ave, New Haven, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003569310
- Provider Enumeration Date: 01/27/2022
- Last Update Date: 09/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355721424
- Enrollment ID: I20220707000253
Medical Identifiers
Medical identifiers for Lauren Koenig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003569310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704314525 (Michigan) | Primary |
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. Lauren Koenig allows following entities to bill medicare on her behalf.
| Entity Name | Downriver Community Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851399570
PECOS PAC ID: 9335135409
Enrollment ID: O20040423000166 |
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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. Lauren Koenig 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 |
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Lauren Koenig, NP
4236 Cumberland Rd,
Berkley, MI 48072-1677
Ph: () - | Lauren Koenig, NP
58144 Gratiot Ave,
New Haven, MI 48048
Ph: (586) 749-5197 |
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