| David Koch, DO | |
|
1 Hospital Drive, Dc06910, Columbia, MO 65212 | |
| (573) 882-1026 | |
| (573) 884-8524 |
| Full Name | David Koch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 1 Hospital Drive, Dc06910, Columbia, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508216920 | NPI | - | NPPES |
| 2016017560 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2016017560 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2016017560 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Genesis Medical Center-davenport | Davenport, IA | Hospital |
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
| Genesis Medical Center-dewitt | Dewitt, IA | Hospital |
| Genesis Medical Center, Aledo | Aledo, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Group Pc Sc | 9032008537 | 18 |
| Radiology Group Pc Sc | 9032008537 | 18 |
| Entity Name | Radiology Group Pc Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073573994 PECOS PAC ID: 9032008537 Enrollment ID: O20040312000682 |
| Mailing Address | Practice Location Address |
|---|---|
| David Koch, DO 1 Hospital Drive, Dc06910, Columbia, MO 65212 Ph: (573) 882-1026 | David Koch, DO 1 Hospital Drive, Dc06910, Columbia, MO 65212 Ph: (573) 882-1026 |
Dr. Neal R Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 N Keene St, Columbia, MO 65201 Phone: 573-442-1788 Fax: 573-442-1789 | |
Dr. Joshua Morrell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr # Dc10m292, Department Of Radiology, School Of Medicine, Columbia, MO 65212 Phone: 701-391-3685 | |
Dr. Ayesha Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9876 | |
Mustafa Al-sabbagh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1026 Fax: 573-884-4487 | |
Dr. Mohamed Khalaf Mahmoud Abdelhakiem, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9879 | |
Alex Loiland Pederson, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-4082 Fax: 573-884-6661 | |
Dr. Lauren Clough Pringle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-884-4608 |