| Richard Adam Koch, MD | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
| (910) 450-4799 | |
| (910) 450-4452 |
| Full Name | Richard Adam Koch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| 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 |
|---|---|---|---|
| 1215908199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2005-01664 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ecep Ii Pa | 5092709931 | 10 |
| Brunswick Community Hospital Llc | 9335150895 | 30 |
| Entity Name | Ecep Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255407680 PECOS PAC ID: 5092709931 Enrollment ID: O20040413000773 |
| Entity Name | Columbus Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588813786 PECOS PAC ID: 2961560446 Enrollment ID: O20081028000380 |
| Entity Name | Brunswick Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
| Entity Name | Brunswick Physician Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457822264 PECOS PAC ID: 2062752470 Enrollment ID: O20190321002645 |
| Entity Name | Novant Health New Hanover Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
| Entity Name | Tarheel Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386388874 PECOS PAC ID: 6709268576 Enrollment ID: O20220727001462 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Adam Koch, MD Us Marine Forces Command 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 Ph: (619) 717-2526 | Richard Adam Koch, MD 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 450-4799 |
Mr. Justin Thomas Daughtry, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4841 | |
Matthew Patrick Sullivan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Dr. David Sullivan Axford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33 Holcomb Blvd, Camp Lejeune, NC 28547 Phone: 910-440-2463 | |
Liam Francis Delahanty, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 518-860-4677 | |
Dr. Ellie Lee Burns, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Joshua David Simons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Emanuel Jackson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4840 |