Kelsey Elyce Koch, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. Her current practice location is
20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 688-4242.
Kelsey Elyce Koch is licensed to practice in * (Not Available) (license number ) 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 1619327848.
Physician's Profile
Full Name | Kelsey Elyce Koch |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 20 York St, New Haven, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619327848
- Provider Enumeration Date: 06/19/2016
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052603743
- Enrollment ID: I20160718001189
Medical Identifiers
Medical identifiers for Kelsey Elyce Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619327848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | R-10660 (Iowa) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kelsey Elyce 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 |
Kelsey Elyce Koch, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Kelsey Elyce Koch, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
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