| Susannah K Koch, MD | |
|
1414 Cross St Ste 240, Shiloh, IL 62269-2988 | |
| (618) 607-3800 | |
| Not Available |
| Full Name | Susannah K Koch |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1414 Cross St Ste 240, Shiloh, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063906352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2018019106 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036161310 (Illinois) | Primary |
| Entity Name | Fairview Heights Medical Group Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah K Koch, MD 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 607-3800 | Susannah K Koch, MD 1414 Cross St Ste 240, Shiloh, IL 62269-2988 Ph: (618) 607-3800 |
Dr. Holly Laura Steiner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-607-3800 | |
Dr. Bethany Kette, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 Fax: 618-234-9936 | |
Dr. Bertram E Drury, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 | |
Dr. Elizabeth Anne George, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1197 Fortune Blvd, Suite 1, Shiloh, IL 62269 Phone: 877-456-2496 | |
Kathryn C Renner, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1414 Cross St Ste 240, Shiloh, IL 62269 Phone: 618-234-2390 Fax: 618-234-9936 | |
Kristen Kapalka Griffin, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 |