| Dr Gina M Koch, DC | |
|
1990 Godfrey Dr, Waupaca, WI 54981-7908 | |
| (715) 256-9616 | |
| (715) 256-9618 |
| Full Name | Dr Gina M Koch |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 29 Years |
| Location | 1990 Godfrey Dr, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053366203 | NPI | - | NPPES |
| 38902900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3449-012 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Koch Chiropractic And Wellness Center | 8921004011 | 4 |
| Provider Name | Koch Chiropractic And Wellness Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659484574 PECOS PAC ID: 8921004011 Enrollment ID: O20061012000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gina M Koch, DC 1990 Godfrey Dr, Waupaca, WI 54981-7908 Ph: (715) 256-9616 | Dr Gina M Koch, DC 1990 Godfrey Dr, Waupaca, WI 54981-7908 Ph: (715) 256-9616 |
Chiropractic Health Center Of Waupaca Llc, Stuart Boelte Sole Mbr Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1326 Royalton St, Waupaca, WI 54981 Phone: 715-258-8288 Fax: 715-258-7195 | |
Waupaca Chiropractic Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 | |
Roots Wholistic Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 717 Churchill St., Waupaca, WI 54981 Phone: 715-258-7001 Fax: 715-258-7048 | |
Dr. Miriam Joy Leean-rodenz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 304 S Western Ave, Waupaca, WI 54981 Phone: 715-258-8211 Fax: 715-258-0118 | |
Mr. Scott R Bailey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: E1557 Grandview Rd, Waupaca, WI 54981 Phone: 715-256-0429 | |
Dante Grorich, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 815 W Fulton St Ste 6, Waupaca, WI 54981 Phone: 715-256-9616 |