| Mr Peter Christopher Koepp, PA-C | |
|
2817 Reilly St, Fort Bragg, NC 28310-7324 | |
| (910) 396-7775 | |
| Not Available |
| Full Name | Mr Peter Christopher Koepp |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2817 Reilly St, Fort Bragg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497867907 | NPI | - | NPPES |
| 8Y0987 | Other | TX | BLUE CROSS |
| 186438101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA05201 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-02309 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Christopher Koepp, PA-C 2817 Reilly St, Fort Bragg, NC 28310-7324 Ph: () - | Mr Peter Christopher Koepp, PA-C 2817 Reilly St, Fort Bragg, NC 28310-7324 Ph: (910) 396-7775 |
Mr. Brent Francis Bachman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Street, Fort Bragg, NC 28310 Phone: 910-907-8617 | |
Mr. Thomas Jones Matherly, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road, Womack Army Medical Center Dooh Pes Meb, Fort Bragg, NC 28310 Phone: 910-907-8602 Fax: 910-907-8602 | |
Mr. Kurt Hammermueller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Rd, Wamcak Army Medical Center, Fort Bragg, NC 28310 Phone: 910-951-4393 Fax: 910-907-4222 | |
Ms. Keisha Lachanda Cohen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Robert Scott Blough, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 | |
Mr. Charles Manson Wyatt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: M-48611 Logistics Ave, Joel Health Clinic, Fort Bragg, NC 28310 Phone: 910-907-9166 | |
Mr. Rolands Jeffrey Dale, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Stop A, Fort Bragg, NC 28310 Phone: 910-907-8922 |