Stacy Koch, RN, CCRN - Medicare Certified Registered Nurse Anesthetist (crna) in Clarence, NY

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Stacy Koch, RN, CCRN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clarence, New York. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ambulatory Medical Anesthesia Service Pc, Parkside Medical Anesthesia Associates and her current practice location is 9665 Rocky Pt, Clarence, New York. You can reach out to her office (for appointments etc.) via phone at (716) 759-7717.

Stacy Koch is licensed to practice in New York (license number 118382) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104291798.

Contact Information

Stacy Koch, RN, CCRN
9665 Rocky Pt,
Clarence, NY 14031-1588
(716) 759-7717
Not Available

Map and Direction




Provider's Profile

Full NameStacy Koch
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location9665 Rocky Pt, Clarence, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Koch graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1104291798
  • Provider Enumeration Date: 12/08/2015
  • Last Update Date: 05/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082961115
  • Enrollment ID: I20180720001677

Medical Identifiers

Medical identifiers for Stacy Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104291798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 118382 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ambulatory Medical Anesthesia Service Pc50926159148
Parkside Medical Anesthesia Associates751785463155

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Koch allows following entities to bill medicare on her behalf.
Entity NameAmbulatory Medical Anesthesia Service Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609813583
PECOS PAC ID: 5092615914
Enrollment ID: O20040108001078
Entity NameParkside Medical Anesthesia Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871537464
PECOS PAC ID: 7517854631
Enrollment ID: O20040303000453
Entity NameBuffalo Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1508863242
PECOS PAC ID: 9032151261
Enrollment ID: O20050526000816
Entity NameErie County Medical Center Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790118917
PECOS PAC ID: 1456308907
Enrollment ID: O20131112000543

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. Stacy Koch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Koch, RN, CCRN
9665 Rocky Pt,
Clarence, NY 14031-1588

Ph: () -		Stacy Koch, RN, CCRN
9665 Rocky Pt,
Clarence, NY 14031-1588

Ph: (716) 759-7717

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Clarence, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.