Debra Koch (NPI# 1699088278, PAC ID# 4486770914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699088278 |
| PAC ID by PECOS | 4486770914 |
| Professional Enrollment ID | I20100922000100 |
| Full Name | Debra Koch |
| Organization Legal Name | ODESSA MEDICAL CLINIC PC |
| Address |
316 W Us Hwy 40 Odessa MO 64076-7445 |
| Phone Number | 8162308777 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335161819 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260193 | ST MARYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 316 W Us Hwy 40, Odessa, MO 64076-7445 | 8162308777 | ODESSA MEDICAL CLINIC PC |
| Organization Legal Name | ODESSA MEDICAL CLINIC PC |
| Physicians | 1 |
| Street Address |
316 W US HWY 40 |
| City | ODESSA |
| State | MO |
| Zip | 64076-7445 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Junior Scott Munsterman | Physical Therapy | Serc Rehabilitation Partners LLC | 211 N 2nd St, Serc Odessa, Odessa, MO 64076-1135 |
| Brandon Timothy Alumbaugh | Physical Therapy | Serc Rehabilitation Partners LLC | 211 N 2nd St, Serc Odessa, Odessa, MO 64076-1135 |
| Louis Michael Davis | Physical Therapy | Serc Rehabilitation Partners LLC | 211 N 2nd St, Serc Odessa, Odessa, MO 64076-1135 |
| Trisha Lynn Krska | Physical Therapy | Serc Rehabilitation Partners LLC | 211 N 2nd St, Serc Odessa, Odessa, MO 64076-1135 |
| Timothy Alan Kesemann | Chiropractic | 216 S 2nd St, Odessa, MO 64076-1248 | |
| Nancy Joyce Fry | Optometry | 201 N 2nd C, Odessa, MO 64076-1393 | |
| Tayler A Marcolla | Nurse Practitioner | Wound Care Plus LLC | 609 Golf St, Odessa, MO 64076-1462 |
| Bradley L Zink | Family Medicine | 408 N 4th St, Suite B, Odessa, MO 64076-1646 | |
| Terry L Schlotman | Clinical Social Worker | 406 N 4th St, Suite A, Odessa, MO 64076-1680 | |
| Jennifer Meryl Deines | Psychologist, Clinical | Compass Health Inc | 1278 W Us Hwy 40, Odessa, MO 64076-9612 |
| Find all physicians in zip 64076 | |||
| City | ODESSA |
| Zip Code | 64076 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ODESSA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.