Mckenzie Marie Koch, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Lake City, Minnesota. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
500 W Grant St, Lake City, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 377-6285.
Mckenzie Marie Koch is licensed to practice in Minnesota (license number 107540) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295626208.
Healthcare Provider's Profile
| Full Name | Mckenzie Marie Koch |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 3 Years |
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| Location | 500 W Grant St, Lake City, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mckenzie Marie Koch graduated from medical school in 2023
NPI Data:
- NPI Number: 1295626208
- Provider Enumeration Date: 07/09/2025
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991285561
- Enrollment ID: I20260213002228
Medical Identifiers
Medical identifiers for Mckenzie Marie Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295626208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 107540 (Minnesota) | 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. Mckenzie Marie 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 |
Mckenzie Marie Koch, OTD, OTR/L Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Mckenzie Marie Koch, OTD, OTR/L 500 W Grant St, Lake City, MN 55041-1143 Ph: (507) 377-6285 |
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