Mark Koch Dc Llc is a medicare enrolled "Clinic/center" provider in Elm Grove, Wisconsin. Their current practice location is
1055 Legion Dr, Elm Grove, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(262) 784-8232.
Mark Koch Dc Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mark Koch Dc Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134883861.
Healthcare Provider's Profile
Full Name | Mark Koch Dc Llc |
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Type | Facility |
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Speciality | Clinic/center |
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Location | 1055 Legion Dr, Elm Grove, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134883861
- Provider Enumeration Date: 10/28/2021
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183019516
- Enrollment ID: O20220321002194
Medical Identifiers
Medical identifiers for Mark Koch Dc Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134883861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mark Koch Dc Llc acts as a billing entity for following providers:
Provider Name | Mark J Koch |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1699828251 PECOS PAC ID: 6204099617 Enrollment ID: I20120523000086 |
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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. Mark Koch Dc Llc 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 |
Mark Koch Dc Llc 1055 Legion Dr, Elm Grove, WI 53122-2202 Ph: (262) 784-8232 | Mark Koch Dc Llc 1055 Legion Dr, Elm Grove, WI 53122-2202 Ph: (262) 784-8232 |
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