Roberta Lynn Koeppen, MD in Springfield, IL - Medicare Urology

Roberta Lynn Koeppen, MD is a medicare enrolled "Urology" physician in Springfield, Illinois. Her current practice location is 747 N Rutledge St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 545-3262.

Roberta Lynn Koeppen is licensed to practice in Illinois (license number 125077975) 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 1235703299.

Contact Information

	Roberta Lynn Koeppen, MD
	747 N Rutledge St, Springfield, IL 62702-6700
	(217) 545-3262
	(217) 545-7305

Physician's Profile

Full Name	Roberta Lynn Koeppen
Gender	Female
Speciality	Urology
Location	747 N Rutledge St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235703299
Provider Enumeration Date: 05/14/2021
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 0143622332
Enrollment ID: I20210709002844

Medical Identifiers

Medical identifiers for Roberta Lynn Koeppen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235703299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	125077975 (Illinois)	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. Roberta Lynn Koeppen 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
Roberta Lynn Koeppen, MD Po Box 19665, Springfield, IL 62794-9665 Ph: (217) 545-3262	Roberta Lynn Koeppen, MD 747 N Rutledge St, Springfield, IL 62702-6700 Ph: (217) 545-3262

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Urology Doctors in Springfield, IL

Herbert J Wiser, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-527-2620
Chandler Nicholas Hudson, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305
Joe Miller, M.D. Urology Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305
Nicholas Tadros, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St # 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305
Dr. David A. Roszhart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 N. 1st Street, Springfield, IL 62702 Phone: 217-528-7541
Robert Henry Blackwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305

Roberta Lynn Koeppen, MD - Medicare Urology in Springfield, IL