Rebekah W Koch, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

BP10031404 Issued in TX

Practice address

1105 W Frank Ave
Ste 280
Lufkin, TX 75904-3303

Phone

(936) 639-4393

Fax

(936) 639-0877

NPI assigned

Jun 28, 2008

Last updated

Oct 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Texas Medical School at San Antonio, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bening Medical Group PLLCGroup PAC ID 3577933704, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bening Medical Group PLLC

  dba Texas Hill Country TMS

  • Behavioral Neurology & Neuropsychiatry Physician
  • Burnet, TX
  • NPI 1396463253
  Medicare reassignment Care Compare group NPD
• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital

  • Critical Access Hospital
  • Anahuac, TX
  • NPI 1174522494
  Medicare reassignment NPD
• Chambers County Public Hospital District No 1

  dba Bayside Community Hospital and Clinic

  • Family Medicine Physician
  • Anahuac, TX
  • NPI 1861542235
  Medicare reassignment NPD
• Rebekah Koch, M.D., PLLC

  dba Tall Pines Family Clinic

  • Psychiatry Physician
  • Lufkin, TX
  • NPI 1770849184
  Authorized official Same address or phone
• Chambers County Public Hospital District No 1

  dba Bayside Clinic

  • Federally Qualified Health Center (FQHC)
  • Anahuac, TX
  • NPI 1417032343
  NPD
• Chambers County Public Hospital District No. 1

  dba Emory Health and Rehab

  • Skilled Nursing Facility
  • Emory, TX
  • NPI 1770819377
  NPD
• Joseph Koch, M.D., PLLC

  dba Tall Pines Family Clinic

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1255697306
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1417119603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE",
            "address_2": "STE 280",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-639-4393",
            "fax_number": "936-639-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE",
            "address_2": "STE 280",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-639-4393",
            "fax_number": "936-639-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "REBEKAH",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-28",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10031404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KKS Services (K&K Support Services)
• KKS Services, LLC (K&K Support Services)
• Joseph Wayne Knobloch
• Stephanie Moore Knox, LCSW
• Joseph Alan Koch, MD
• Travis Lee Koehn
• Sara Caitlin Koerth, CRNA
• Deidre D. Kolb
• Venkata R Kovvali, M.D.
• Traci A. Kramer-Dudley, PHD

• Psychiatry Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.