Robert Walter Koch, MD | |
1500 W Poplar Ave, Collierville, TN 38017-0601 | |
(901) 861-9000 | |
Not Available |
Full Name | Robert Walter Koch |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1500 W Poplar Ave, Collierville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740229319 | NPI | - | NPPES |
00125950 | Medicaid | MS | |
3020046 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 16195 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Mailing Address | Practice Location Address |
---|---|
Robert Walter Koch, MD 1319 Smithson Trl, Eads, TN 38028-6902 Ph: () - | Robert Walter Koch, MD 1500 W Poplar Ave, Collierville, TN 38017-0601 Ph: (901) 861-9000 |
Dr. Steven Randall Creasy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 W Poplar Ave, Collierville, TN 38017 Phone: 901-861-9000 | |
Dr. Jason Bradley Spencer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1677 Amber Grove Ln, Collierville, TN 38017 Phone: 901-413-2133 | |
Dr. Jolee Bostick Rutherford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 W Poplar Ave, Collierville, TN 38017 Phone: 901-861-9000 | |
Dr. Shahram Rahimi-saber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 794 Polo Run Dr, Collierville, TN 38017 Phone: 901-850-7788 | |
Lida P Curlee, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 W Poplar Ave, Collierville, TN 38017 Phone: 901-818-2168 Fax: 901-682-9998 | |
Dr. James Eric Escue, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2028 W Poplar Ave, Collierville, TN 38017 Phone: 901-854-5455 |