Alice Koech, A-GNP-C in Roseburg, OR - Medicare Nurse Practitioner

Alice Koech, A-GNP-C is a medicare enrolled "Nurse Practitioner" in Roseburg, Oregon. Her current practice location is 1700 Nw Garden Valley Blvd Ste 201, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 464-0788.

Alice Koech is licensed to practice in Oregon (license number 10000878) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669105656.

Contact Information

	Alice Koech, A-GNP-C
	1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636
	(541) 464-0788
	Not Available

Map and Direction

Provider's Profile

Full Name	Alice Koech
Gender	Female
Speciality	Nurse Practitioner
Location	1700 Nw Garden Valley Blvd Ste 201, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669105656
Provider Enumeration Date: 07/06/2022
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 4880062264
Enrollment ID: I20221115002858

Medical Identifiers

Medical identifiers for Alice Koech such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669105656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP61327739 (Washington)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP61327739 (Washington)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	AP61327739 (Washington)	Secondary
363L00000X	Nurse Practitioner	10000878 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alice Koech allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Entity Name	Nisha Jackson Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Koech is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alice Koech, A-GNP-C 1117 W Young St, Elma, WA 98541-9090 Ph: () -	Alice Koech, A-GNP-C 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR 97471-1636 Ph: (541) 464-0788

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Charlene Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sherri Twedt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

Alice Koech, A-GNP-C - Medicare Nurse Practitioner in Roseburg, OR