Teresa Ann Koch-ely, DDS is a medicare enrolled "Dentist - General Practice" provider in Bellevue, Michigan. Her current practice location is
120 N Main St, Bellevue, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 763-2092.
Teresa Ann Koch-ely is licensed to practice in Michigan (license number 2901016943) 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 1609925791.
Healthcare Provider's Profile
Full Name | Teresa Ann Koch-ely |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 120 N Main St, Bellevue, Michigan |
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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: 1609925791
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779875604
- Enrollment ID: I20160713000517
Medical Identifiers
Medical identifiers for Teresa Ann Koch-ely such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609925791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901016943 (Michigan) | 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. Teresa Ann Koch-ely 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 |
Teresa Ann Koch-ely, DDS 120 N Main St, Bellevue, MI 49021-1232 Ph: (269) 763-2092 | Teresa Ann Koch-ely, DDS 120 N Main St, Bellevue, MI 49021-1232 Ph: (269) 763-2092 |
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