Theresa Koch, RN, LCSW is a medicare enrolled "Registered Nurse" provider in Milwaukee, Wisconsin. Her current practice location is
5000 W National Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 384-2000.
Theresa Koch is licensed to practice in Wisconsin (license number 68389-030) 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 1497774715.
Healthcare Provider's Profile
Full Name | Theresa Koch |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 5000 W National Ave, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497774715
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2163456690
- Enrollment ID: I20050923000080
Medical Identifiers
Medical identifiers for Theresa Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497774715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 4039-123 (Wisconsin) | Primary |
163W00000X | Registered Nurse | 68389-030 (Wisconsin) | 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. Theresa Koch allows following entities to bill medicare on her behalf.
Entity Name | Associated Mental Health Consultants Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063437986 PECOS PAC ID: 5597665026 Enrollment ID: O20040112000103 |
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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. Theresa Koch 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 |
Theresa Koch, RN, LCSW 5000 W National Ave, Milwaukee, WI 53295 Ph: (414) 384-2000 | Theresa Koch, RN, LCSW 5000 W National Ave, Milwaukee, WI 53295 Ph: (414) 384-2000 |
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