| 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 |
| Fayette County Hospital | Vandalia, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eldorado Emergency Group Pc | 3678955028 | 13 |
| Great Lakes Emergency Physicians Pllc | 4789925181 | 10 |
| Epss Llc - East Series | 8729213459 | 12 |
| Entity Name | Pekin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245355411 PECOS PAC ID: 4789676438 Enrollment ID: O20040401000798 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228 |
| Entity Name | Pinckneyville Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689646523 PECOS PAC ID: 8123921632 Enrollment ID: O20080506000051 |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851390132 PECOS PAC ID: 5294649372 Enrollment ID: O20080529000078 |
| Entity Name | Illinois Emergency Staffing Solutions, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050 |
| Entity Name | Hcc Region Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528237559 PECOS PAC ID: 1759453178 Enrollment ID: O20090529000084 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Alton-griffin Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891104824 PECOS PAC ID: 7315167103 Enrollment ID: O20140929002428 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Eldorado Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235868191 PECOS PAC ID: 3678955028 Enrollment ID: O20220801002597 |
| 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 |