Sarah A Koch, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Birmingham, Alabama. Her current practice location is
150 Glenwood Ln, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 969-2880.
Sarah A Koch is licensed to practice in Indiana (license number 20043303A) 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 1992235022.
Healthcare Provider's Profile
| Full Name | Sarah A Koch |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 150 Glenwood Ln, Birmingham, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992235022
- Provider Enumeration Date: 06/12/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618387077
- Enrollment ID: I20201113001794
Medical Identifiers
Medical identifiers for Sarah A Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992235022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 20043303A (Indiana) | 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. Sarah A Koch allows following entities to bill medicare on her behalf.
| Entity Name | Indiana Clinic-neurology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578792271
PECOS PAC ID: 3678626140
Enrollment ID: O20090730000467 |
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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. Sarah A 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 |
|---|
Sarah A Koch, PHD
250 N Shadeland Ave Ste 200,
Indianapolis, IN 46219-4959
Ph: () - | Sarah A Koch, PHD
150 Glenwood Ln,
Birmingham, AL 35242-5700
Ph: (205) 969-2880 |
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