Ms Marissa Koch, WHNP, RNC is a
Nurse Practitioner - Women's Health based in Bolling Afb, District Of Columbia. Ms Marissa Koch is licensed to practice in California (license number 418533) and her current practice location is
238 Brookley Ave Sw, Bolling Afb, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at
(703) 681-6196.
NPI number for Ms Marissa Koch is 1558356113 and her current mailing address is 7865 Godolphin Dr, Springfield, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558356113.
Provider's Profile
| Full Name | Ms Marissa Koch |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
|---|
| Location | 238 Brookley Ave Sw, Bolling Afb, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558356113
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Marissa Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558356113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 418533 (California) | Primary |
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. Ms Marissa Koch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Marissa Koch, WHNP, RNC
7865 Godolphin Dr,
Springfield, VA 22153-3308
Ph: (703) 455-3536 | Ms Marissa Koch, WHNP, RNC
238 Brookley Ave Sw,
Bolling Afb, DC 20032
Ph: (703) 681-6196 |
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