| Dr Johanna Koch, MD | |
|
889 Alder Ave. #203, Incline Village, NV 89451 | |
| (775) 832-5200 | |
| (775) 832-5205 |
| Full Name | Dr Johanna Koch |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 889 Alder Ave. #203, Incline Village, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104835057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5548 (Nevada) | Primary |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801957667 PECOS PAC ID: 0446161335 Enrollment ID: O20040821000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johanna Koch, MD 889 Alder Ave. #203, Incline Village, NV 89451 Ph: (775) 832-5200 | Dr Johanna Koch, MD 889 Alder Ave. #203, Incline Village, NV 89451 Ph: (775) 832-5200 |
Marshall W Clyde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 880 Alder Ave Fl 2, Incline Village, NV 89451 Phone: 775-831-6200 | |
Dr. Timothy Joseph Heilman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 Tahoe Blvd, Suite 301, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 | |
Michelle A Kim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 880 Alder Ave, Incline Village, NV 89451 Phone: 775-831-6200 | |
Peter A Hanson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Tahoe Blvd, Suite 207, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 |