Charles Thomas Koon, MD is a medicare enrolled "Hospitalist" physician in Walla Walla, Washington. His current practice location is
401 W Poplar St, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 897-3320.
Charles Thomas Koon is licensed to practice in Washington (license number MD61016069) 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 1467815886.
Physician's Profile
Full Name | Charles Thomas Koon |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 401 W Poplar St, Walla Walla, Washington |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Charles Thomas Koon attended and graduated from in
NPI Data:
- NPI Number: 1467815886
- Provider Enumeration Date: 04/02/2016
- Last Update Date: 02/03/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charles Thomas Koon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467815886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD61016069 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | MD61016069 (Washington) | Primary |
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. Charles Thomas Koon 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 |
Charles Thomas Koon, MD Po Box 32, Liberty Lake, WA 99019-0032 Ph: (866) 747-2455 | Charles Thomas Koon, MD 401 W Poplar St, Walla Walla, WA 99362-2846 Ph: (509) 897-3320 |
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