Mrs Amanda Cerda Koch, LVN is a
Licensed Vocational Nurse based in Ft. Hood, Texas. Mrs Amanda Cerda Koch is licensed to practice in Texas (license number 193001) and her current practice location is
36065 Sante Fe Ave, Ft. Hood, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 553-3180.
NPI number for Mrs Amanda Cerda Koch is 1730753005 and her current mailing address is 1142 Lilac Ledge Dr, Temple, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730753005.
Provider's Profile
| Full Name | Mrs Amanda Cerda Koch |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 36065 Sante Fe Ave, Ft. Hood, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730753005
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 05/19/2021
Medical Identifiers
Medical identifiers for Mrs Amanda Cerda Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730753005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 193001 (Texas) | 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. Mrs Amanda Cerda 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 |
|---|
Mrs Amanda Cerda Koch, LVN
1142 Lilac Ledge Dr,
Temple, TX 76502-2178
Ph: (956) 223-7293 | Mrs Amanda Cerda Koch, LVN
36065 Sante Fe Ave,
Ft. Hood, TX 76544
Ph: (254) 553-3180 |
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