Maranda Naomi Koch, is a
Student In An Organized Health Care Education/training Program based in Laveen, Arizona. Maranda Naomi Koch is licensed to practice in * (Not Available) (license number ) and her current practice location is
7415 W Glass Ln, Laveen, Arizona. She can be reached at her office (for appointments etc.) via phone at
(307) 217-2979.
NPI number for Maranda Naomi Koch is 1598571200 and her current mailing address is 7415 W Glass Ln, Laveen, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598571200.
Provider's Profile
| Full Name | Maranda Naomi Koch |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 7415 W Glass Ln, Laveen, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598571200
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 12/06/2024
Medical Identifiers
Medical identifiers for Maranda Naomi Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598571200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Maranda Naomi Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maranda Naomi Koch,
7415 W Glass Ln,
Laveen, AZ 85339-7011
Ph: (307) 217-2979 | Maranda Naomi Koch,
7415 W Glass Ln,
Laveen, AZ 85339-7011
Ph: (307) 217-2979 |
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