Marrie Koch, is a
Nurse Practitioner - Family based in Ponce Inlet, Florida. Marrie Koch is licensed to practice in Florida (license number F06220492) and her current practice location is
112 Old Carriage Rd, Ponce Inlet, Florida. She can be reached at her office (for appointments etc.) via phone at
(502) 417-1637.
NPI number for Marrie Koch is 1053898114 and her current mailing address is 112 Old Carriage Rd, Ponce Inlet, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053898114.
Provider's Profile
| Full Name | Marrie Koch |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 112 Old Carriage Rd, Ponce Inlet, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053898114
- Provider Enumeration Date: 07/22/2018
- Last Update Date: 07/13/2023
Medical Identifiers
Medical identifiers for Marrie Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053898114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN441736 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F06220492 (Florida) | 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. Marrie 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 |
|---|
Marrie Koch,
112 Old Carriage Rd,
Ponce Inlet, FL 32127-6910
Ph: (502) 417-1637 | Marrie Koch,
112 Old Carriage Rd,
Ponce Inlet, FL 32127-6910
Ph: (502) 417-1637 |
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