| Mrs Nicole Koch, | |
|
10400 Connecticut Ave, Ste 606, Kensington, MD 20895-3910 | |
| (301) 942-2212 | |
| (301) 917-6501 |
| Full Name | Mrs Nicole Koch |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 10400 Connecticut Ave, Kensington, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043463680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C0003886 (Maryland) | Primary |
| Entity Name | Montgomery Family Medicine Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972604023 PECOS PAC ID: 8820067408 Enrollment ID: O20040930000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Koch, 2415 Musgrove Rd 3105, Silver Spring, MD 20904-5202 Ph: (301) 989-0193 | Mrs Nicole Koch, 10400 Connecticut Ave, Ste 606, Kensington, MD 20895-3910 Ph: (301) 942-2212 |
Mrs. Amandeep Chhabra Sandhoo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10810 Connecticut Ave, Kensington, MD 20895 Phone: 301-929-7560 Fax: 301-929-7473 |
Scott Christopher Napier, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10540 Connecticut Ave, Kensington, MD 20895 Phone: 800-417-1164 |
Barbara J Bryden, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10400 Connecticut Ave, Suite 600, Kensington, MD 20895 Phone: 301-942-2212 Fax: 301-942-1149 |