| Dr Fred Daniel Koch, MD | |
|
1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | |
| (770) 979-9903 | |
| (770) 979-7312 |
| Full Name | Dr Fred Daniel Koch |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 40 Years |
| Location | 1600 Medical Way, Snellville, Georgia |
| 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 |
|---|---|---|---|
| 1841202017 | NPI | - | NPPES |
| 000982132C | Medicaid | GA | |
| 000982132D | Medicaid | GA | |
| 000982132E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 052122 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resurgens, Llc | 1153224142 | 148 |
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Esop Rehabilitation Llc | 9739305749 | 181 |
| Entity Name | Resurgens, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fred Daniel Koch, MD 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 Ph: (770) 979-9903 | Dr Fred Daniel Koch, MD 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 Ph: (770) 979-9903 |
Dr. John Ryan Mahoney, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 Fax: 678-214-6112 | |
Jeffrey Scott Holmes Ii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 | |
Dr. Nimit K. Lad, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2306 Wisteria Dr Ste 240, Snellville, GA 30078 Phone: 678-344-4944 Fax: 678-344-4947 | |
Dr. Lattisha Latoyah Bilbrew, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way Ste 150, Snellville, GA 30078 Phone: 770-979-9903 | |
Roosevelt Offoha, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 300, Snellville, GA 30078 Phone: 678-205-4299 Fax: 678-214-6112 | |
Dr. Sami Osman Khan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Lane Rd, Suite 300, Snellville, GA 30078 Phone: 770-979-9903 Fax: 770-979-7312 |