| Maranda Naomi Koch, | |
|
497 W Lott St, Buffalo, WY 82834-1658 | |
| (307) 684-5521 | |
| Not Available |
| Full Name | Maranda Naomi Koch |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 497 W Lott St, Buffalo, Wyoming |
| 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 |
|---|---|---|---|
| 1598571200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PT1430 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson County Healthcare Center | Buffalo, WY | Hospital |
| Banner Payson Medical Center | Payson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Center | 1557344371 | 22 |
| Entity Name | Johnson County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003894122 PECOS PAC ID: 5193610947 Enrollment ID: O20070418000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Maranda Naomi Koch, Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Maranda Naomi Koch, 497 W Lott St, Buffalo, WY 82834-1658 Ph: (307) 684-5521 |
Mrs. Chelsea Puente, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-5521 Fax: 307-684-5385 |
Mr. Mitchell F Volin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 |
Mrs. Traci Denise Darnell, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-2228 Fax: 307-684-2177 |
Angela L Knutson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 497 W Lott St, Buffalo, WY 82834 Phone: 307-684-5521 |