| Tracey Koch, FNP | |
|
420 N Second Ave, Suite 100, Sandpoint, ID 83864-1565 | |
| (208) 265-2242 | |
| (208) 265-8214 |
| Full Name | Tracey Koch |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 420 N Second Ave, Sandpoint, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295741239 | NPI | - | NPPES |
| 806191100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NP461A (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Koch, FNP 420 N Second Ave, Suite 100, Sandpoint, ID 83864-1565 Ph: (208) 265-2242 | Tracey Koch, FNP 420 N Second Ave, Suite 100, Sandpoint, ID 83864-1565 Ph: (208) 265-2242 |
Daniel Jack Meulenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 N 3rd Ave Ste 101, Sandpoint, ID 83864 Phone: 208-263-1435 Fax: 208-263-7812 | |
Dr. Joseph Benjamin Cooper, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1218 N Division Ave Ste 208, Sandpoint, ID 83864 Phone: 208-263-3091 Fax: 208-263-3147 | |
Patricia Jane Hennessy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 Highway 2, Suite 301, Sandpoint, ID 83864 Phone: 208-265-9909 Fax: 208-265-5351 | |
Dr. Timothy Ray Bonine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Ponderosa Dr, Suite 103, Sandpoint, ID 83864 Phone: 208-263-9545 Fax: 208-263-9539 | |
Amber M Clark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1218 N Division Ave Ste 208, Sandpoint, ID 83864 Phone: 208-263-3091 | |
W Hugh Leedy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Superior St, Sandpoint, ID 83864 Phone: 208-263-1718 Fax: 208-263-7198 |