Rachael Lee Koch, CRNP in Williamsport, PA - Medicare Nurse Practitioner

Rachael Lee Koch, CRNP is a medicare enrolled "Nurse Practitioner" in Williamsport, Pennsylvania. Her current practice location is 471 Hepburn St, Williamsport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 567-5400.

Rachael Lee Koch is licensed to practice in Pennsylvania (license number SP021946) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740714294.

Contact Information

	Rachael Lee Koch, CRNP
	471 Hepburn St, Williamsport, PA 17701-6122
	(570) 567-5400
	(877) 551-9931

Map and Direction

Provider's Profile

Full Name	Rachael Lee Koch
Gender	Female
Speciality	Nurse Practitioner
Location	471 Hepburn St, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740714294
Provider Enumeration Date: 04/11/2017
Last Update Date: 02/04/2026

Medicare PECOS Information:

PECOS PAC ID: 9638425374
Enrollment ID: I20221220002730

Medical Identifiers

Medical identifiers for Rachael Lee Koch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740714294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	22135 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	SP021946 (Pennsylvania)	Primary

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. Rachael Lee Koch allows following entities to bill medicare on her behalf.

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

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. Rachael Lee Koch 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
Rachael Lee Koch, CRNP 3530 River Rd, Watsontown, PA 17777-8658 Ph: (570) 837-2123	Rachael Lee Koch, CRNP 471 Hepburn St, Williamsport, PA 17701-6122 Ph: (570) 567-5400

Reviews and Comments

Nurse Practitioner Nurses in Williamsport, PA

Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165
Taylor Anne List, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 W Edwin St, Williamsport, PA 17701 Phone: 570-505-8331

Rachael Lee Koch, CRNP - Medicare Nurse Practitioner in Williamsport, PA