Stacey Koch, is a
Social Worker - Clinical based in Elko, Nevada. Stacey Koch is licensed to practice in Nevada (license number 8206-C) and her current practice location is
401 Railroad St Ste 406, Elko, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 389-2700.
NPI number for Stacey Koch is 1497058507 and her current mailing address is Po Box 2222, Elko, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497058507.
Healthcare Provider's Profile
| Full Name | Stacey Koch |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 401 Railroad St Ste 406, Elko, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497058507
- Provider Enumeration Date: 12/10/2010
- Last Update Date: 02/24/2020
Medical Identifiers
Medical identifiers for Stacey Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497058507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 86299 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 33002 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8206-C (Nevada) | 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. Stacey Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacey Koch,
Po Box 2222,
Elko, NV 89803-2222
Ph: () - | Stacey Koch,
401 Railroad St Ste 406,
Elko, NV 89801-3727
Ph: (775) 389-2700 |
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