Tinyko Koch, is a
Licensed Vocational Nurse based in Buford, Georgia. Tinyko Koch is licensed to practice in Mississippi (license number 321389) and her current practice location is
4046 Water Mill Dr, Buford, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 887-8026.
NPI number for Tinyko Koch is 1417534066 and her current mailing address is 4046 Water Mill Dr, Buford, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417534066.
Provider's Profile
| Full Name | Tinyko Koch |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 4046 Water Mill Dr, Buford, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417534066
- Provider Enumeration Date: 03/28/2021
- Last Update Date: 03/28/2021
Medical Identifiers
Medical identifiers for Tinyko Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417534066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 321389 (Mississippi) | 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. Tinyko Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tinyko Koch,
4046 Water Mill Dr,
Buford, GA 30519-7269
Ph: (678) 887-8026 | Tinyko Koch,
4046 Water Mill Dr,
Buford, GA 30519-7269
Ph: (678) 887-8026 |
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