David T Koon Jr, MD is a
Family Medicine physician based in Summerton, South Carolina. David T Koon Jr is licensed to practice in South Carolina (license number 19651) and his current practice location is 123 Main St, Summerton, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 485-2240.
NPI number for David T Koon Jr is 1619954377 and his current mailing address is Po Box 10, 123 Main St, Summerton, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619954377.
Physician's Profile
| Full Name | David T Koon Jr |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 123 Main St, Summerton, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619954377
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 11/15/2007
Medical Identifiers
Medical identifiers for David T Koon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619954377 | NPI | - | NPPES |
| 7161 | Other | SC | MEDICARE |
| 7382016 | Other | SC | AETNA |
| A7980 | Other | SC | MEDCOST |
| 0141069 | Other | SC | CAROLINA CARE |
| 196512 | Medicaid | SC | |
| 5161 | Other | SC | COMPANION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 19651 (South Carolina) | 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. David T Koon Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David T Koon Jr, MD
Po Box 10, 123 Main St,
Summerton, SC 29148-0010
Ph: (803) 485-2240 | David T Koon Jr, MD
123 Main St,
Summerton, SC 29148
Ph: (803) 485-2240 |
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