| Paul W Koch, MD | |
|
159 Kercheval Ave., Grosse Pointe, MI 48236 | |
| (313) 640-2300 | |
| Not Available |
| Full Name | Paul W Koch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 39 Years |
| Location | 159 Kercheval Ave., Grosse Pointe, Michigan |
| 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 |
|---|---|---|---|
| 1487623286 | NPI | - | NPPES |
| 3932056 | Other | IL | BLUE SHEILD |
| 036110592-2 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Memorial Hospital | Chester, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Emergency Physicians Pllc | 4789925181 | 6 |
| Eldorado Emergency Group Pc | 3678955028 | 11 |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Entity Name | Woodlawn Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
| Entity Name | Community Hospital Of Lagrange County, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679674956 PECOS PAC ID: 1355382706 Enrollment ID: O20140318000136 |
| Entity Name | Nes Of Sandusky Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524 |
| Entity Name | Great Lakes Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457816514 PECOS PAC ID: 4789925181 Enrollment ID: O20190412000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul W Koch, MD 24920 Fairmount Dr, Dearborn, MI 48124-1584 Ph: (313) 274-6579 | Paul W Koch, MD 159 Kercheval Ave., Grosse Pointe, MI 48236 Ph: (313) 640-2300 |
Dr. Brian Matthew Dimmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Edward J Jelonek Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 159 Kercheval Ave., Grosse Pointe, MI 48236 Phone: 313-640-2300 | |
David R Schleif, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 Fax: 313-473-1934 | |
Dr. Liza Kamal Khalil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 Fax: 313-473-1934 | |
Dr. Jon Spyridakis I, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Dr. Maisa Teff, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1605 | |
Steven D Sandubrae, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave., Grosse Pointe, MI 48236 Phone: 313-640-2300 |