Susannah K Koch, MD | |
1414 Cross St Ste 240, Shiloh, IL 62269-2988 | |
(618) 607-3800 | |
Not Available |
Full Name | Susannah K Koch |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1414 Cross St Ste 240, Shiloh, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063906352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2018019106 (Missouri) | Secondary |
207V00000X | Obstetrics & Gynecology | 036161310 (Illinois) | Primary |
Entity Name | Fairview Heights Medical Group Sc |
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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 |
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Susannah K Koch, MD 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 607-3800 | Susannah K Koch, MD 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 607-3800 |
Dr. Holly Laura Steiner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-607-3800 | |
Dr. Bertram E Drury, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 | |
Dr. Elizabeth Anne George, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1197 Fortune Blvd, Suite 1, Shiloh, IL 62269 Phone: 877-456-2496 | |
Kathryn C Renner, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 Fax: 618-234-9936 | |
Kristen Kapalka Griffin, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 | |
Sekou Khary Kelsey, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 |