Dr Susan Elise Koch, MD in Clackamas, OR

Dr Susan Elise Koch, MD is a medicare enrolled "Dermatology" physician in Clackamas, Oregon. Her current practice location is 9900 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 653-6440.

Dr Susan Elise Koch is licensed to practice in Oregon (license number MD21378) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912092693.

Contact Information

	Dr Susan Elise Koch, MD
	9900 Se Sunnyside Rd, Clackamas, OR 97015-9750
	(503) 653-6440
	(503) 571-8974

Map and Direction

Physician's Profile

Full Name	Dr Susan Elise Koch
Gender	Female
Speciality	Dermatology
Location	9900 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912092693
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5698856300
Enrollment ID: I20080121000014

Medical Identifiers

Medical identifiers for Dr Susan Elise Koch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912092693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD21378 (Oregon)	Primary
207N00000X	Dermatology	MD00037941 (Washington)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Susan Elise Koch allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Susan Elise Koch 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 Susan Elise Koch, MD 20200 Se Walgren Rd, Damascus, OR 97089 Ph: (503) 658-7218	Dr Susan Elise Koch, MD 9900 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (503) 653-6440

Reviews and Comments

Dermatology Doctors in Clackamas, OR

Jo M Martin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Nw Permanente Pc, Physicians And Surgeons, Clackamas, OR 97015 Phone: 503-571-3332
Daniel C. Root, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9280 Se Sunnyside Blvd, Ste 200, Clackamas, OR 97015 Phone: 503-962-1840
Dr. Kevin Bruce Yarbrough, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000
Peter E Goodkin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Road, Suite 500, Clackamas, OR 97015 Phone: 503-654-7546 Fax: 503-786-3542
Matthew G Basco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-571-8490
Dr. Zachary G Pena, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-962-1840
Travis James Widman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3332

Dr Susan Elise Koch, MD - Medicare Dermatology in Clackamas, OR