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David Michael Koerner

Family Medicine

Allopathic & Osteopathic Physicians

102 White Horse Rd W, Suite 102, Voorhees, NJ 08043-3610

PECOS Enrollment

This provider is enrolled in PECOS as DAVID KOERNER.

Based on the most recent information from CMS, provider David Michael Koerner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1477528529
Provider Type
Individual
Full Name
Koerner, David Michael
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/22/2006
Last Updated
11/27/2023

Contact Information

Practice Location

102 White Horse Rd W, Suite 102, Voorhees, NJ 08043-3610

(856) 783-6200

(856) 783-8434

Mailing Location

1 Federal St Ste 200, Camden, NJ 08103-1088

(848) 288-6935

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 25MB06649500 New Jersey
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 25MB066495 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 8326401	Description Medicaid	Issuer Unlisted New Jersey

David Michael Koerner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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