Mr Gary Sydney Koech Iii, in Atlanta, GA - Medicare Nurse Practitioner

Mr Gary Sydney Koech Iii, is a medicare enrolled "Nurse Practitioner - Acute Care" in Atlanta, Georgia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Emory Clinic, Inc and his current practice location is Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 686-7858.

Mr Gary Sydney Koech Iii is licensed to practice in Georgia (license number RN292038) 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 1104463819.

Contact Information

	Mr Gary Sydney Koech Iii,
	Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308
	(404) 686-7858
	(404) 686-7841

Map and Direction

Provider's Profile

Full Name	Mr Gary Sydney Koech Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, Atlanta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Gary Sydney Koech Iii graduated from nursing school in 2019

NPI Data:

NPI Number: 1104463819
Provider Enumeration Date: 12/02/2019
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 1355758772
Enrollment ID: I20210401000807

Medical Identifiers

Medical identifiers for Mr Gary Sydney Koech Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104463819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN292038 (Georgia)	Secondary
163W00000X	Registered Nurse	876479 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	PENDING (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN292038 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory University Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic, Inc	8820901408	2687

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. Mr Gary Sydney Koech Iii allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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. Mr Gary Sydney Koech Iii 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
Mr Gary Sydney Koech Iii, 675 N Highland Ave Ne Apt 303, Atlanta, GA 30306-4673 Ph: (304) 813-9399	Mr Gary Sydney Koech Iii, Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 Ph: (404) 686-7858

Reviews and Comments

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Mr Gary Sydney Koech Iii, - Medicare Nurse Practitioner in Atlanta, GA