| Drew Koch, DO | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Drew Koch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Guthrie Sq, Sayre, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235242777 | NPI | - | NPPES |
| 02937915 | Medicaid | NY | |
| 777489238 | Other | NY | BLUE SHIELD |
| 204489238 | Other | NY | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 246087 (New York) | Secondary |
| 207P00000X | Emergency Medicine | OS006315L (Pennsylvania) | Primary |
| Entity Name | Port City Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | Corning Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346241973 PECOS PAC ID: 9133031925 Enrollment ID: O20191115001115 |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Koch, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Drew Koch, DO 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Dr. Phillip Lunsford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Lindsay Clarkson Macconaghy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Kasarah Leanna Ackerman, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Abigail Rose Link, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Andrew Scott Mccollough, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Dr. Carol K Kniess, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 267-902-2535 | |
Dr. Zachary Ewan Dewar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-3381 |