Anthony Koch, PMHNP - Medicare Nurse Practitioner in San Luis Obispo, CA

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Anthony Koch, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Luis Obispo, California. His current practice location is 2180 Johnson Ave, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (805) 781-4768.

Anthony Koch is licensed to practice in Washington (license number AP61289252) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821676669.

Contact Information

Anthony Koch, PMHNP
2180 Johnson Ave,
San Luis Obispo, CA 93401-4558
(805) 781-4768
Not Available

Map and Direction




Provider's Profile

Full NameAnthony Koch
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2180 Johnson Ave, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821676669
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911393228
  • Enrollment ID: I20220413000203

Medical Identifiers

Medical identifiers for Anthony Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821676669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN61287688 (Washington)Secondary
163W00000XRegistered Nurse RN.445266 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0029697 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61289252 (Washington)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. Anthony Koch allows following entities to bill medicare on his behalf.
Entity NameUhs Of Westwood Pembroke Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760453328
PECOS PAC ID: 6204740947
Enrollment ID: O20031117000702
Entity NameThe Commonwealth Of Massachusetts
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851477491
PECOS PAC ID: 8820906860
Enrollment ID: O20040609001391
Entity NameThe Commonwealth Of Massachusetts
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194803288
PECOS PAC ID: 8820906860
Enrollment ID: O20040928000190
Entity NameT Massachusetts, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346728748
PECOS PAC ID: 6901159003
Enrollment ID: O20190123000592

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. Anthony 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
Anthony Koch, PMHNP
6923 Gibson Rd,
Canfield, OH 44406-8653

Ph: (330) 398-1132		Anthony Koch, PMHNP
2180 Johnson Ave,
San Luis Obispo, CA 93401-4558

Ph: (805) 781-4768

Reviews and Comments


Nurse Practitioner Nurses in San Luis Obispo, CA

John Garza, NP, LCSW
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1585 Kansas Ave, San Luis Obispo, CA 93405
Phone: 800-353-5400    
Lauren Elvira Mirabdollah, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 Casa St, Suite 201-204, San Luis Obispo, CA 93405
Phone: 805-269-1500    Fax: 805-269-1585
Michelle Alena Taylor, R.N., M.S.N., A.C.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1194 Pacific Street, Suite 100, San Luis Obispo, CA 93401
Phone: 805-781-9111    Fax: 805-788-0764
Avery John Paulson, RN, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2180 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-431-1334    
Michele L Day-brooks, RN/FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 705 Grand Ave, San Luis Obispo, CA 93401
Phone: 805-544-2478    
Jennifer Poe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401
Phone: 805-543-4043    Fax: 805-543-7640
Patricia M. Odum, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401
Phone: 805-543-4043    Fax: 805-543-4427

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.