Rachel Koch, CRNP | |
333 Cottman Ave, Philadelphia, PA 19111-2434 | |
(888) 369-2427 | |
Not Available |
Full Name | Rachel Koch |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295431807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN694844 (Pennsylvania) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | SP026840 (Pennsylvania) | Primary |
Entity Name | Temple Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054 |
Entity Name | Temple Faculty Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
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Rachel Koch, CRNP 2329 Gerritt St, Philadelphia, PA 19146-4106 Ph: (610) 888-2537 | Rachel Koch, CRNP 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (888) 369-2427 |
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