Raquel Sara Koch, is a medicare enrolled "Physical Therapist" provider in Ball Ground, Georgia. Her current practice location is
118 Creek Side Way, Ball Ground, Georgia. You can reach out to her office (for appointments etc.) via phone at
(786) 339-0950.
Raquel Sara Koch is licensed to practice in Georgia (license number PT016516) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760132823.
Healthcare Provider's Profile
| Full Name | Raquel Sara Koch |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 118 Creek Side Way, Ball Ground, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760132823
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 08/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264896729
- Enrollment ID: I20230915003397
Medical Identifiers
Medical identifiers for Raquel Sara Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760132823 | NPI | - | NPPES |
| 225100000X | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT37775 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT6035 (New Mexico) | Secondary |
| 225100000X | Physical Therapist | P22384 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | PT016516 (Georgia) | 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. Raquel Sara 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 |
|---|
Raquel Sara Koch,
118 Creek Side Way,
Ball Ground, GA 30107-4621
Ph: (786) 339-0950 | Raquel Sara Koch,
118 Creek Side Way,
Ball Ground, GA 30107-4621
Ph: (786) 339-0950 |
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