Dr Matthew J Koch, MD | |
4550 Memorial Dr Ste 280, Belleville, IL 62226-5372 | |
(618) 767-3235 | |
Not Available |
Full Name | Dr Matthew J Koch |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 27 Years |
Location | 4550 Memorial Dr Ste 280, Belleville, Illinois |
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 |
---|---|---|---|
1962420448 | NPI | - | NPPES |
205799000 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 2002009358 (Missouri) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 036121947 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmc - Regency Park | O fallon, IL | Dialysis facility |
Davita - Shiloh Dialysis | Belleville, IL | Dialysis facility |
Total Renal Care, Inc. | Shiloh, IL | Dialysis facility |
Davita - Sauget Dialysis Center | Sauget, IL | Dialysis facility |
Memorial Hospital | Belleville, IL | Hospital |
Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
Red Bud Regional Hospital | Red bud, IL | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Barnes Jewish Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew J Koch, MD 4550 Memorial Dr Ste 280, Belleville, IL 62226-5372 Ph: (618) 767-3235 | Dr Matthew J Koch, MD 4550 Memorial Dr Ste 280, Belleville, IL 62226-5372 Ph: (618) 767-3235 |
Dr. Dennis P Larson, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502 | |
Kathleen K Fournier, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Eldon Trame, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475 | |
Anand P. Patel, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Eduardo Martinez-barrios, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4600 Memorial Dr, Suite 120, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Kashif Shahzad Bhutto, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555 | |
Dr. David Nelson Pfohl, MD, FACP, GAQ Nephrology Medicare: Medicare Enrolled Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518 |