Tracey A Koch (NPI# 1295741239, PAC ID# 6406800721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295741239 |
| PAC ID by PECOS | 6406800721 |
| Professional Enrollment ID | I20050309000931 |
| Full Name | Tracey A Koch |
| Organization Legal Name | KOOTENAI TRIBE OF IDAHO |
| Address |
100 Circle Dr Bonners Ferry ID 83805-5483 |
| Phone Number | 2082675223 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315184926 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Circle Dr, Bonners Ferry, ID 83805-5483 | 2082675223 | KOOTENAI TRIBE OF IDAHO |
| Organization Legal Name | KOOTENAI TRIBE OF IDAHO |
| Physicians | 1 |
| Street Address |
100 CIRCLE DR |
| City | BONNERS FERRY |
| State | ID |
| Zip | 83805-5483 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua O Shelton | Chiropractic | 510686 Hwy 95, Bonners Ferry, ID 83805-5301 | |
| Paul Stuart Hyer | Chiropractic | 510686 Hwy 95, Bonners Ferry, ID 83805-5301 | |
| Mary R Fiedler | Nurse Practitioner | Public Health District 1 | 7402 Caribou St, Bonners Ferry, ID 83805-7512 |
| Amanda D Horricks | Physician Assistant | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Sherry Lee Bushnell | Nurse Practitioner | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Troy W Geyman | Family Medicine | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Kelli L Wright | Clinical Social Worker | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Ryan James Gorman | Nurse Practitioner | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Haley Marie Halleman | Physician Assistant | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Cecilia Zebedeo | Physician Assistant | Bonners Ferry Family Medicine Pllc | 6488 Chinook St, Bonners Ferry, ID 83805-7515 |
| Find all physicians in zip 83805 | |||
| City | BONNERS FERRY |
| Zip Code | 83805 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BONNERS FERRY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracey A Koch.
| 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.