Dr Bon Chul Koo, MD in Cleveland, OH

Dr Bon Chul Koo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cleveland, Ohio. His current practice location is 4853 Galaxy Pkwy, Suite I, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 831-9786.

Dr Bon Chul Koo is licensed to practice in Ohio (license number 35043277) 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 1205829280.

Contact Information

	Dr Bon Chul Koo, MD
	4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973
	(216) 831-9786
	(216) 831-2425

Map and Direction

Physician's Profile

Full Name	Dr Bon Chul Koo
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	4853 Galaxy Pkwy, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205829280
Provider Enumeration Date: 08/25/2005
Last Update Date: 06/27/2014

Medicare PECOS Information:

PECOS PAC ID: 0345145439
Enrollment ID: I20041202000113

Medical Identifiers

Medical identifiers for Dr Bon Chul Koo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205829280	NPI	-	NPPES
0404075	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	35043277 (Ohio)	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. Dr Bon Chul Koo allows following entities to bill medicare on his behalf.

Entity Name	Drs. Hill & Thomas Co.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568574952 PECOS PAC ID: 3577468636 Enrollment ID: O20031202000199

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. Dr Bon Chul Koo 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
Dr Bon Chul Koo, MD 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 Ph: (216) 831-9786	Dr Bon Chul Koo, MD 4853 Galaxy Pkwy, Suite I, Cleveland, OH 44128-5973 Ph: (216) 831-9786

Reviews and Comments

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Dr Bon Chul Koo, MD - Medicare Radiology in Cleveland, OH