Mary Jo Koch, | |
105 S Marshall St, Boone, IA 50036-4899 | |
(515) 432-7983 | |
Not Available |
Full Name | Mary Jo Koch |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 105 S Marshall St, Boone, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336651363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 088801 (Iowa) | Primary |
Entity Name | Greene County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245260652 PECOS PAC ID: 0143208595 Enrollment ID: O20040712000717 |
Mailing Address | Practice Location Address |
---|---|
Mary Jo Koch, 125 S 3rd St, Ames, IA 50010-7042 Ph: (515) 233-2250 | Mary Jo Koch, 105 S Marshall St, Boone, IA 50036-4899 Ph: (515) 432-7983 |
Mrs. Stephanie Noel Murray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 S Marshall St, Boone, IA 50036 Phone: 515-432-7983 | |
Cassie Lea Musser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 S Marshall St, Boone, IA 50036 Phone: 515-432-7983 | |
Katherine M Dinges, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 806 7th St Unit U2, Boone, IA 50036 Phone: 402-219-2313 | |
Ms. Mary E Mix, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 S Marshall St, Boone, IA 50036 Phone: 515-432-7983 Fax: 515-432-7657 | |
Karen Anne Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 S Marshall St, Boone, IA 50036 Phone: 515-432-7983 | |
Mrs. Andrea Lee Olson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 S Marshall St, Boone, IA 50036 Phone: 515-432-7983 Fax: 515-432-7657 |