| Victoria Koch, APRN | |
|
602 S 42nd St, Mount Vernon, IL 62864-6264 | |
| (618) 899-3278 | |
| Not Available |
| Full Name | Victoria Koch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 602 S 42nd St, Mount Vernon, Illinois |
| 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 |
|---|---|---|---|
| 1336656537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209016821 (Illinois) | Primary |
| 363L00000X | Nurse Practitioner | 2017038330 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Texas Emergency Physicians Pllc | 8527420306 | 154 |
| Entity Name | Northeast Texas Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Koch, APRN Po Box 955860, Saint Louis, MO 63195-1048 Ph: (636) 498-5944 | Victoria Koch, APRN 602 S 42nd St, Mount Vernon, IL 62864-6264 Ph: (618) 899-3278 |
Amanda Engele, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864 Phone: 618-899-5001 | |
Leslie Wright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-6222 | |
Fariahh Fazil, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Andrea Stearns, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-246-2910 | |
Nancy K Kertz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864 Phone: 618-242-4848 Fax: 618-242-4198 | |
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0031 Fax: 618-244-0056 | |
Melanie Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |