Stacy Koch, RN, CCRN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clarence, New York. 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.
Provider's Profile
Full Name | Stacy Koch |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 9665 Rocky Pt, Clarence, New York |
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Accepts Medicare Assignments | Yes. 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 attended and graduated from in
NPI Data:
- NPI Number: 1104291798
- Provider Enumeration Date: 12/08/2015
- Last Update Date: 05/23/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Stacy Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104291798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 118382 (New York) | 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. 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 Address | Practice 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 |
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