| Rachael Lee Koch, CRNP | |
|
246 S Main St, Hughesville, PA 17737-1614 | |
| (570) 584-5144 | |
| (570) 584-5416 |
| Full Name | Rachael Lee Koch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 246 S Main St, Hughesville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740714294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 22135 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | SP021946 (Pennsylvania) | Primary |
| Entity Name | Family Practice Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Lee Koch, CRNP 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Rachael Lee Koch, CRNP 246 S Main St, Hughesville, PA 17737-1614 Ph: (570) 584-5144 |
Lindsay M Morningstar Moyer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 | |
Jennifer Marie Robb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 |