Individual ProviderKoy PotthoffStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address983075 Nebraksa Medical Center, Omaha, NE 68198-0001(402) 559-7200PECOS EnrollmentBased on the most recent information from CMS, provider Koy Potthoff is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285522599Provider TypeIndividualFull NamePotthoff, KoyCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/25/2025Last Updated6/25/2025Contact InformationPractice LocationPractice Address983075 Nebraksa Medical Center, Omaha, NE 68198-0001Phone(402) 559-7200FaxUnlisted FaxMailing LocationMailing Address983075 Nebraksa Medical Center, Omaha, NE 68198-3075PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer