Rachael Lee Koch, CRNP | |
246 S Main St, Hughesville, PA 17737-1614 | |
(570) 584-5144 | |
(570) 584-5416 |
Full Name | Rachael Lee Koch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 246 S Main St, Hughesville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740714294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 22135 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | SP021946 (Pennsylvania) | Primary |
Entity Name | Family Practice Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
Mailing Address | Practice Location Address |
---|---|
Rachael Lee Koch, CRNP 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Rachael Lee Koch, CRNP 246 S Main St, Hughesville, PA 17737-1614 Ph: (570) 584-5144 |
Lindsay M Morningstar Moyer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 | |
Jennifer Marie Robb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 |