Dr Stanley W Koch, MD | |
411 Maxine Dr, Morton, IL 61550-2495 | |
(309) 263-2411 | |
(309) 263-2208 |
Full Name | Dr Stanley W Koch |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 45 Years |
Location | 411 Maxine Dr, Morton, 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 |
---|---|---|---|
1467436436 | NPI | - | NPPES |
371398455 | Medicaid | IL | |
371398455 | Other | IL | TAX ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036060959 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Francis Medical Center | Peoria, IL | Home health agency |
Saint Francis Medical Center | Peoria, IL | Hospital |
Proctor Hospital | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Pekin Memorial Hospital | Pekin, IL | Hospital |
Apostolic Christian Restmor | Morton, IL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Koch Family Medicine Sc | 1153378229 | 6 |
Entity Name | Koch Family Medicine Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376665125 PECOS PAC ID: 1153378229 Enrollment ID: O20050401000043 |
Mailing Address | Practice Location Address |
---|---|
Dr Stanley W Koch, MD 411 Maxine Dr, Morton, IL 61550-2495 Ph: (309) 263-2411 | Dr Stanley W Koch, MD 411 Maxine Dr, Morton, IL 61550-2495 Ph: (309) 263-2411 |
Sarah White, APN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 104 E Queenwood Rd Ste 202, Morton, IL 61550 Phone: 309-621-9580 | |
John Dudley Shepherdson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Jefferson St, Morton, IL 61550 Phone: 309-266-9711 Fax: 309-266-6322 | |
Dr. Matthew A Stetter, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 621 W Jackson St, Morton, IL 61550 Phone: 309-263-4343 Fax: 309-263-1363 | |
Asha Arshed Gorsi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2244 | |
Dr. Kimberly Yvette Ford, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Maxine Dr, Morton, IL 61550 Phone: 309-263-2411 Fax: 309-263-2208 | |
Dr. Jessica A. Tonozzi-kinzinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 Maxine Dr, Morton, IL 61550 Phone: 309-263-2424 Fax: 309-284-2244 | |
Dr. Larry Stephen Patton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 E Jefferson St, Morton, IL 61550 Phone: 309-266-9711 Fax: 309-266-6322 |