Sebastian Koch, MD - Medicare Neurology in Miami, FL

Sebastian Koch, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Miami, Florida. He went to Wake Forest University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Neurology. He is a member of the group practice University Of Miami and his current practice location is 1475 Nw 12th Ave, Box 016960 M851, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 243-7520.

Sebastian Koch is licensed to practice in Florida (license number ME70460) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831155779.

Contact Information

Sebastian Koch, MD
1475 Nw 12th Ave, Box 016960 M851,
Miami, FL 33136-1002
(305) 243-7520
(305) 243-8470

Map and Direction




Physician's Profile

Full NameSebastian Koch
GenderMale
SpecialityNeurology
Experience31 Years
Location1475 Nw 12th Ave, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sebastian Koch attended and graduated from Wake Forest University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1831155779
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 02/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2163546656
  • Enrollment ID: I20100907000438

Medical Identifiers

Medical identifiers for Sebastian Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831155779NPI-NPPES
257431400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology ME70460 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Health SystemMiami, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Miami32747951091820

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. Sebastian Koch allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Miami
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006

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. Sebastian 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 AddressPractice Location Address
Sebastian Koch, MD
1475 Nw 12th Ave, Box 016960 M851,
Miami, FL 33136-1002

Ph: (305) 243-7520
Sebastian Koch, MD
1475 Nw 12th Ave, Box 016960 M851,
Miami, FL 33136-1002

Ph: (305) 243-7520

Reviews and Comments


Psychiatry & Neurology Doctors in Miami, FL

Dr. Barry M. Glassman, MD
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Phone: 305-932-7403    Fax: 305-935-3725
Dr. Daniel Maass, M.D.
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Phone: 305-245-2301    
Silvia R Delgado,
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Walter G Bradley,
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Practice Location: 1475 Nw 12th Ave, Box 016960 M851, Miami, FL 33136
Phone: 305-243-7520    
Dr. Vivian Del Carmen Cuevas, M.D.
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Dr. Douglas Mckay Wallace, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1201 Nw 16th St, Miami Va Medical Center, Dept Of Neurology, Miami, FL 33125
Phone: 305-575-7000    
Dr. Edmi Yadelis Cortes Torres, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1295 Nw 14th St, 2nd Floor, Suite E, Miami, FL 33125
Phone: 305-689-1352    Fax: 305-689-1356

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.