Jennifer Kaye Lange Koch, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Hubbard, Iowa. Her current practice location is
405 S State St, Hubbard, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 864-3301.
Jennifer Kaye Lange Koch is licensed to practice in Iowa (license number A114592) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912322538.
Provider's Profile
Full Name | Jennifer Kaye Lange Koch |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 405 S State St, Hubbard, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912322538
- Provider Enumeration Date: 02/19/2014
- Last Update Date: 01/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850821638
- Enrollment ID: I20250210001988
Medical Identifiers
Medical identifiers for Jennifer Kaye Lange Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912322538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 114592 (Iowa) | Secondary |
163WH0200X | Registered Nurse - Home Health | 114592 (Iowa) | Secondary |
363LF0000X | Nurse Practitioner - Family | A114592 (Iowa) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Kaye Lange Koch allows following entities to bill medicare on her behalf.
Entity Name | Hubbard Integrative Family Medicine, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821808338 PECOS PAC ID: 8921538752 Enrollment ID: O20250210001814 |
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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. Jennifer Kaye Lange 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 Address | Practice Location Address |
Jennifer Kaye Lange Koch, ARNP Po Box 487, Hubbard, IA 50122-0487 Ph: (641) 864-3301 | Jennifer Kaye Lange Koch, ARNP 405 S State St, Hubbard, IA 50122-9501 Ph: (641) 864-3301 |
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