Raquel Sara Koch, in Ball Ground, GA - Medicare Physical Therapist Provider

Raquel Sara Koch, is a medicare enrolled "Physical Therapist" provider in Ball Ground, Georgia. Her current practice location is 118 Creek Side Way, Ball Ground, Georgia. You can reach out to her office (for appointments etc.) via phone at (786) 339-0950.

Raquel Sara Koch is licensed to practice in Alaska (license number 221542) 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 1760132823.

Contact Information

	Raquel Sara Koch,
	118 Creek Side Way, Ball Ground, GA 30107-4621
	(786) 339-0950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Raquel Sara Koch
Gender	Female
Speciality	Physical Therapist
Location	118 Creek Side Way, Ball Ground, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760132823
Provider Enumeration Date: 03/23/2022
Last Update Date: 03/20/2025

Medicare PECOS Information:

PECOS PAC ID: 2264896729
Enrollment ID: I20240130000640

Medical Identifiers

Medical identifiers for Raquel Sara Koch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760132823	NPI	-	NPPES
225100000X	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT37775 (Florida)	Secondary
225100000X	Physical Therapist	PT6035 (New Mexico)	Secondary
225100000X	Physical Therapist	P22384 (North Carolina)	Secondary
225100000X	Physical Therapist	PT016516 (Georgia)	Secondary
225100000X	Physical Therapist	221542 (Alaska)	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. Raquel Sara Koch allows following entities to bill medicare on her behalf.

Provider Name	Peak Performance Sports And Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194714063 PECOS PAC ID: 0749276426 Enrollment ID: O20040421000043

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. Raquel Sara 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
Raquel Sara Koch, 118 Creek Side Way, Ball Ground, GA 30107-4621 Ph: (786) 339-0950	Raquel Sara Koch, 118 Creek Side Way, Ball Ground, GA 30107-4621 Ph: (786) 339-0950

Reviews and Comments

Physical Therapist in Ball Ground, GA

Catharine Teann Seo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 697 Henry Scott Rd, Ball Ground, GA 30107 Phone: 770-490-0442
Mrs. Mary Amanda Marcus, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 Westwind Dr, Ball Ground, GA 30107 Phone: 770-378-0075 Fax: 770-205-6315
Kelly Sheats, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10150 Ball Ground Hwy Ste 106, Ball Ground, GA 30107 Phone: 678-454-0321 Fax: 706-535-0262
Christine Fulkerson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10150 Ball Ground Hwy, Ball Ground, GA 30107 Phone: 678-454-0321

Raquel Sara Koch, - Medicare Physical Therapist in Ball Ground, GA