Derrick Koo, MD | |
504 Gibson Dr, Roseville, CA 95678-5799 | |
(916) 771-2871 | |
(916) 771-2841 |
Full Name | Derrick Koo |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 25 Years |
Location | 504 Gibson Dr, Roseville, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902984495 | NPI | - | NPPES |
00A867340 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | A86734 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Derrick Koo, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Derrick Koo, MD 504 Gibson Dr, Roseville, CA 95678-5799 Ph: (916) 771-2871 |
Regan Asher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Dr. Robert Earl Burky Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661 Phone: 916-535-2030 Fax: 916-536-3061 | |
Richard Childrey Gross, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Allan Chen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 504 Gibson Dr, Roseville, CA 95678 Phone: 916-771-2871 Fax: 916-771-2841 | |
Dr. Charlotte Dai Kubicky, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Dr Ste 180, Roseville, CA 95661 Phone: 916-781-1225 | |
John P Farkas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1640 E Roseville Pkwy, Ste 100, Roseville, CA 95661 Phone: 916-784-2277 Fax: 916-932-1104 | |
Mark Escudero, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Dept Of Radiology, Roseville, CA 95661 Phone: 858-337-6226 |