Lisa M Koch, PHD in Spokane, WA - Medicare Psychologist Provider

Lisa M Koch, PHD is a medicare enrolled "Psychologist" provider in Spokane, Washington. Her current practice location is 105 W 8th Ave, Suite 450e, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 474-6920.

Lisa M Koch is licensed to practice in Washington (license number PY00002472) 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 1003811712.

Contact Information

	Lisa M Koch, PHD
	105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302
	(509) 474-6920
	(509) 227-7070

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa M Koch
Gender	Female
Speciality	Psychologist
Location	105 W 8th Ave, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003811712
Provider Enumeration Date: 06/17/2005
Last Update Date: 09/18/2015

Medicare PECOS Information:

PECOS PAC ID: 8022321819
Enrollment ID: I20150722006221

Medical Identifiers

Medical identifiers for Lisa M Koch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003811712	NPI	-	NPPES
8366411	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY00002472 (Washington)	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. Lisa M Koch allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Lisa M 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
Lisa M Koch, PHD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455	Lisa M Koch, PHD 105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302 Ph: (509) 474-6920

Reviews and Comments

Psychologist in Spokane, WA

Dr. William H. Jackline, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Arthur St Ste 415, Spokane, WA 99202 Phone: 509-448-4929 Fax: 509-448-8025
Dr. Rita Y Flanagan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 Phone: 509-434-7544
Dr. John Wood Fishburne Iv, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 104 S Freya St Ste 214a, Spokane, WA 99202 Phone: 509-888-0048 Fax: 509-534-3193
Dr. Lawrence Ray Weathers, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6921 E Jamieson Rd, Spokane, WA 99223 Phone: 509-448-6462 Fax: 806-209-8854
Dr. Brandy Renee Henson, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4815 N Assembly St, Spokane, WA 99205 Phone: 509-434-7000
Dr. Samantha Susan-marie Chandler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 W Riverside Ave, Suite 208, Spokane, WA 99201 Phone: 509-747-0165

Lisa M Koch, PHD - Medicare Psychologist in Spokane, WA