Dr Fred Daniel Koch, MD | |
1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | |
(770) 979-9903 | |
(770) 979-7312 |
Full Name | Dr Fred Daniel Koch |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 39 Years |
Location | 1600 Medical Way, Snellville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841202017 | NPI | - | NPPES |
000982132C | Medicaid | GA | |
000982132D | Medicaid | GA | |
000982132E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 052122 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastside Medical Center | Snellville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Resurgens, Llc | 1153224142 | 148 |
Entity Name | Resurgens, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred Daniel Koch, MD 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 Ph: (770) 979-9903 | Dr Fred Daniel Koch, MD 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 Ph: (770) 979-9903 |
Dr. John Ryan Mahoney, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 Fax: 678-214-6112 | |
Dr. Lattisha Latoyah Bilbrew, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way Ste 150, Snellville, GA 30078 Phone: 770-979-9903 | |
Roosevelt Offoha, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 Fax: 678-214-6112 | |
Dr. Sami Osman Khan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Lane Rd, Suite 300, Snellville, GA 30078 Phone: 770-979-9903 Fax: 770-979-7312 | |
Ms. Sharonda Renee Forte, NP-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1970 Main St E Ste B3, Snellville, GA 30078 Phone: 470-467-4680 Fax: 470-200-3618 |