Richard Adam Koch, MD | |
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
(910) 450-4799 | |
(910) 450-4452 |
Full Name | Richard Adam Koch |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 20 Years |
Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
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 |
---|---|---|---|
1215908199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A112972 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Brunswick Medical Center | Supply, NC | Hospital |
New Hanover Regional Medical Center | Wilmington, NC | Hospital |
Columbus Regional Healthcare System | Whiteville, NC | Hospital |
Pender Memorial Hospital | Burgaw, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Emergency Group Llc | 2961560446 | 14 |
Ecep Ii Pa | 5092709931 | 37 |
Brunswick Community Hospital Llc | 9335150895 | 36 |
Entity Name | Ecep Ii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255407680 PECOS PAC ID: 5092709931 Enrollment ID: O20040413000773 |
Entity Name | Columbus Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588813786 PECOS PAC ID: 2961560446 Enrollment ID: O20081028000380 |
Entity Name | Brunswick Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
Entity Name | Brunswick Physician Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457822264 PECOS PAC ID: 2062752470 Enrollment ID: O20190321002645 |
Entity Name | Novant Health New Hanover Regional Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
Entity Name | Tarheel Emergency Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386388874 PECOS PAC ID: 6709268576 Enrollment ID: O20220727001462 |
Mailing Address | Practice Location Address |
---|---|
Richard Adam Koch, MD Us Marine Forces Command 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 Ph: (619) 717-2526 | Richard Adam Koch, MD 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4799 |
Mr. Justin Thomas Daughtry, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4841 | |
Matthew Patrick Sullivan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Dr. David Sullivan Axford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33 Holcomb Blvd, Camp Lejeune, NC 28547 Phone: 910-440-2463 | |
Liam Francis Delahanty, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 518-860-4677 | |
Dr. Ellie Lee Burns, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Joshua David Simons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Emanuel Jackson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4840 |