Mr Mark Gerald Koch, MFT in Fairfield, CA - Medicare Marriage & Family Therapist Provider

Mr Mark Gerald Koch, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Fairfield, California. His current practice location is 2101 Courage Dr, Fairfield, California. You can reach out to his office (for appointments etc.) via phone at (707) 784-2099.

Mr Mark Gerald Koch is licensed to practice in California (license number MFC33411) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396808622.

Contact Information

	Mr Mark Gerald Koch, MFT
	2101 Courage Dr, Fairfield, CA 94533-6717
	(707) 784-2099
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Gerald Koch
Gender	Male
Speciality	Marriage & Family Therapist
Location	2101 Courage Dr, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396808622
Provider Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0840723086
Enrollment ID: I20241028000892

Medical Identifiers

Medical identifiers for Mr Mark Gerald Koch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396808622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFC33411 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mark Gerald Koch allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Mr Mark Gerald 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
Mr Mark Gerald Koch, MFT 2101 Courage Dr, Fairfield, CA 94533-6717 Ph: (707) 784-2099	Mr Mark Gerald Koch, MFT 2101 Courage Dr, Fairfield, CA 94533-6717 Ph: (707) 784-2099

Reviews and Comments

Marriage & Family Therapist in Fairfield, CA

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Marco Antonio Sanchez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 675 Texas St Ste 3800, Fairfield, CA 94533 Phone: 916-715-5930 Fax: 707-427-2784
Cyndi Carol Smit, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2224
Ms. Melanie Dawn Cook, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2152 Fax: 707-784-2269

Mr Mark Gerald Koch, MFT - Medicare Couples Therapy in Fairfield, CA