Dr John Kevin Koch, MD is a
Surgery physician based in Vienna, West Virginia. Dr John Kevin Koch is licensed to practice in West Virginia (license number 19553) and his current practice location is 800 Grand Central Mall, Suite 2, Vienna, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 865-4350.
NPI number for Dr John Kevin Koch is 1104824044 and his current mailing address is 800 Grand Central Mall, Suite 2, Vienna, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104824044.
Physician's Profile
| Full Name | Dr John Kevin Koch |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 800 Grand Central Mall, Vienna, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104824044
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 08/11/2011
Medical Identifiers
Medical identifiers for Dr John Kevin Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104824044 | NPI | - | NPPES |
| 0011154000 | Medicaid | WV | |
| 2197448 | Medicaid | OH | |
| 311599387-00 | Other | OH | WORKERS COMP |
| 201655 | Other | | FEDERAL BLACK LUNG |
| 311599387003 | Other | WV | MOUTAIN STATE BCBS |
| 9298571 | Other | WV | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 19553 (West Virginia) | 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 John Kevin Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Kevin Koch, MD
800 Grand Central Mall, Suite 2,
Vienna, WV 26105-4100
Ph: (304) 865-4350 | Dr John Kevin Koch, MD
800 Grand Central Mall, Suite 2,
Vienna, WV 26105-4100
Ph: (304) 865-4350 |
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