Polly A Koch, is a
Speech-language Pathologist based in Delta, Missouri. Polly A Koch is licensed to practice in Missouri (license number 114678) and her current practice location is
324 Liberty Street, Delta, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 794-2500.
NPI number for Polly A Koch is 1114171048 and her current mailing address is Po Box 787, Delta, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114171048.
Healthcare Provider's Profile
Full Name | Polly A Koch |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 324 Liberty Street, Delta, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114171048
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 11/05/2008
Medical Identifiers
Medical identifiers for Polly A Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114171048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 114678 (Missouri) | 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. Polly A 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 |
Polly A Koch, Po Box 787, Delta, MO 63744-0787 Ph: (573) 794-2500 | Polly A Koch, 324 Liberty Street, Delta, MO 63744 Ph: (573) 794-2500 |
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