Mrs Tricia A Koch, APNP | |
1265 W American Dr Ste 100, Neenah, WI 54956 | |
(920) 722-7747 | |
Not Available |
Full Name | Mrs Tricia A Koch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 1265 W American Dr Ste 100, Neenah, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538263223 | NPI | - | NPPES |
1538263223 | Medicaid | WI | |
124650-030 | Other | WI | STATE LICENSE - WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 124650-030 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 240 |
Wisconsin Institute Of Urology Sc | 6608058078 | 18 |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | Wisconsin Institute Of Urology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578872628 PECOS PAC ID: 6608058078 Enrollment ID: O20110307000045 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tricia A Koch, APNP 1265 W American Dr Ste 100, Neenah, WI 54956-1405 Ph: (920) 722-7747 | Mrs Tricia A Koch, APNP 1265 W American Dr Ste 100, Neenah, WI 54956 Ph: (920) 722-7747 |
Mrs. Amanda Kay Douma, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 N Green Bay Rd Ste B, Neenah, WI 54956 Phone: 920-454-7130 | |
Lori A. Franck, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 | |
Mrs. Bonnie B Hoersch, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 Fax: 920-729-3023 | |
Pamela Macwilliams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St Ste 197, Neenah, WI 54956 Phone: 920-729-2030 | |
Mrs. Carissa Jo Ranieri, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W American Dr, Neenah, WI 54956 Phone: 920-430-8113 | |
Ellen Beltz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 | |
Marie K Dziewit, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 Fax: 920-729-2378 |