Dr Stephen Koza, DMD is a medicare enrolled "Dentist - General Practice" provider in Lagrande, Oregon. His current practice location is
2502 Cove Ave, Suite D, Lagrande, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 963-4962.
Dr Stephen Koza is licensed to practice in Oregon (license number D8404) 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 1861552085.
Healthcare Provider's Profile
| Full Name | Dr Stephen Koza |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 2502 Cove Ave, Lagrande, Oregon |
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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: 1861552085
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244543791
- Enrollment ID: I20260102002150
Medical Identifiers
Medical identifiers for Dr Stephen Koza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861552085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | D8404 (Oregon) | 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. Dr Stephen Koza 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 |
Dr Stephen Koza, DMD 63970a Mcdonald Ln, La Grande, OR 97850-5157 Ph: (541) 963-3202 | Dr Stephen Koza, DMD 2502 Cove Ave, Suite D, Lagrande, OR 97850 Ph: (541) 963-4962 |
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