Anthony Koch, PMHNP - Medicare Nurse Practitioner in Dallas, OR

Anthony Koch, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dallas, Oregon. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice County Of Polk and his current practice location is 182 Sw Academy St, Dallas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 623-9289.

Anthony Koch is licensed to practice in California (license number NPF95024532) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821676669.

Contact Information

Anthony Koch, PMHNP
182 Sw Academy St,
Dallas, OR 97338-1996
(503) 623-9289
(503) 623-2731

Map and Direction




Provider's Profile

Full NameAnthony Koch
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location182 Sw Academy St, Dallas, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anthony Koch graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1821676669
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 03/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7911393228
  • Enrollment ID: I20251122000541

Medical Identifiers

Medical identifiers for Anthony Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821676669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61289252 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0029697 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10009669 (Oregon)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health RN61287688 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health NPF95024532 (California)Primary
163W00000XRegistered Nurse RN.445266 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marian Regional Medical CenterSanta maria, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Polk73159304929

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony Koch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anthony Koch, PMHNP
6923 Gibson Rd,
Canfield, OH 44406-8653

Ph: (330) 398-1132
Anthony Koch, PMHNP
182 Sw Academy St,
Dallas, OR 97338-1996

Ph: (503) 623-9289

Reviews and Comments


Nurse Practitioner Nurses in Dallas, OR

Faith Renee Shinn, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 531 Se Clay St, Dallas, OR 97338
Phone: 971-612-6100    Fax: 971-612-6101
Mrs. Kirsten Emily Teixeira, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 182 Sw Academy St Ste 333, Dallas, OR 97338
Phone: 503-623-9289    
Julia Esther Balcom, MN,BSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 531 Se Clay St, Dallas, OR 97338
Phone: 971-612-6100    Fax: 971-612-6101
Jannell Darlene Werner, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 182 Sw Academy St, Dallas, OR 97338
Phone: 503-623-9289    Fax: 503-831-1726
Shoshana Farber, WHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 182 Sw Academy St, Dallas, OR 97338
Phone: 503-623-8175    
Caezar Ordonez,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 525 Se Washington St, Dallas, OR 97338
Phone: 503-623-8301    
Thomas Balcom, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 531 Se Clay St, Dallas, OR 97338
Phone: 971-612-6100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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