| Rachel Koch, NURSE PRACTITIONER | |
|
24760 Hospital Dr, Red Lake, MN 56671-0497 | |
| (218) 679-3912 | |
| (218) 679-0181 |
| Full Name | Rachel Koch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 24760 Hospital Dr, Red Lake, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245279835 | NPI | - | NPPES |
| 289818700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R129319-1 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Valley Health Center | Warren, MN | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 158 |
| Warren Community Hospital Inc | 2264408566 | 19 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Entity Name | Warren Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073516357 PECOS PAC ID: 2264408566 Enrollment ID: O20040908000953 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Koch, NURSE PRACTITIONER 24760 Hospital Drive, Red Lake, MN 56671-0497 Ph: (218) 679-3912 | Rachel Koch, NURSE PRACTITIONER 24760 Hospital Dr, Red Lake, MN 56671-0497 Ph: (218) 679-3912 |
Ms. Tracy Brower, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Highway 1, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0135 | |
Michelle Lynn Graves, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Rd, Red Lake, MN 56671 Phone: 218-679-3912 | |
Mr. Bruce James Chaffee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Red Lake Hospital, 24760 Hospital Drive, Red Lake, MN 56671 Phone: 218-679-3912 | |
Tricia Lynn Cowan, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24760 Hospital Dr, Red Lake, MN 56671 Phone: 218-679-0168 Fax: 218-679-3912 | |
Kathleen Marmorine, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Highway 1, Box 497, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 218-679-0181 | |
Dr. Kari Lynn Josefson, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24760 Hospital Drive, Red Lake, MN 56671 Phone: 218-679-3912 |