Bomi Koch, in Roseville, CA - Medicare Pediatrics

Bomi Koch, is a medicare enrolled "Pediatrics" physician in Roseville, California. Her current practice location is 3100 Douglas Blvd, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (916) 774-8500.

Bomi Koch is licensed to practice in California (license number A106739) 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 1750540605.

Contact Information

	Bomi Koch,
	3100 Douglas Blvd, Roseville, CA 95661-3866
	(916) 774-8500
	(916) 781-3422

Map and Direction

Physician's Profile

Full Name	Bomi Koch
Gender	Female
Speciality	Pediatrics
Location	3100 Douglas Blvd, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750540605
Provider Enumeration Date: 06/05/2008
Last Update Date: 02/04/2019

Medicare PECOS Information:

PECOS PAC ID: 1759525959
Enrollment ID: I20130909000746

Medical Identifiers

Medical identifiers for Bomi Koch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750540605	NPI	-	NPPES
A106739	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A106739 (California)	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. Bomi Koch allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Bomi 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
Bomi Koch, 10470 Old Placerville Rd, Sacramento, CA 95827-2539 Ph: (800) 470-0071	Bomi Koch, 3100 Douglas Blvd, Roseville, CA 95661-3866 Ph: (916) 774-8500

Reviews and Comments

Pediatrics Doctors in Roseville, CA

Scott W. Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Dr. Vyjayanthi N Srinivasan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4190
Dr. Carol Frances Milazzo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 406 Sunrise Ave, Suite 280, Roseville, CA 95661 Phone: 916-782-3786 Fax: 916-773-6251
Elaine Chiu, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd Ste 21, Roseville, CA 95661 Phone: 916-474-2250
Catherine Bakey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd Bldg B, Roseville, CA 95661 Phone: 916-216-3377
Amy Cruickshank, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-2250 Fax: 916-474-2251
Jean Marie Struthers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000

Bomi Koch, - Medicare Pediatrics in Roseville, CA