| Katherine Koshofer, PA-C | |
|
400 Sun Temple Dr, Madison, AL 35758-5924 | |
| (256) 774-5524 | |
| (256) 774-5523 |
| Full Name | Katherine Koshofer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 400 Sun Temple Dr, Madison, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720209935 | NPI | - | NPPES |
| 412755469A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5017 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 1307 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Crestwood Medical Center | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Primary Care Llc | 0042494346 | 6 |
| Entity Name | Madison Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881993210 PECOS PAC ID: 0042494346 Enrollment ID: O20110412000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Koshofer, PA-C 130 Wellington Dr, Madison, AL 35758-8153 Ph: (662) 312-7422 | Katherine Koshofer, PA-C 400 Sun Temple Dr, Madison, AL 35758-5924 Ph: (256) 774-5524 |
Ms. Carol Lascola, CRNP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Browns Ferry Rd, Madison, AL 35758 Phone: 246-461-7272 |
Robert Mims, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8375 Highway 72 W, Madison, AL 35758 Phone: 256-256-2012 |
Charlotte Elizabeth Christiansen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 103 Goose Hill Bnd, Madison, AL 35756 Phone: 719-722-4710 |
Ms. Melissa Morlote Triana, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd Ste D, Madison, AL 35758 Phone: 938-227-6307 Fax: 938-227-6318 |
Emily Warden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 137 Victoria Dr, Madison, AL 35758 Phone: 256-698-8473 |
Hayley Jager, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8375 Highway 72 W, Madison, AL 35758 Phone: 256-265-2012 |
Ms. Andria Marguerite Sexton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27 Hughes Rd, Madison, AL 35758 Phone: 256-325-8971 |