Dr David Song Ko, DO | |
55 W Tietan St, Walla Walla, WA 99362-4445 | |
(540) 825-6263 | |
(540) 825-4911 |
Full Name | Dr David Song Ko |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 11 Years |
Location | 55 W Tietan St, Walla Walla, Washington |
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 |
---|---|---|---|
1356720049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0102205469 (Virginia) | Secondary |
207Q00000X | Family Medicine | OP61443176 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Entity Name | Virginia Garcia Memorial Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992 |
Mailing Address | Practice Location Address |
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Dr David Song Ko, DO 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: () - | Dr David Song Ko, DO 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (540) 825-6263 |
Kevin Jon Molander, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Dr. John Eric Moore, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 | |
Samuel Kirtley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592 | |
Nicole Siobhan Patching, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-897-3700 Fax: 509-897-5575 | |
Barry Kellogg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 | |
Lehlia P Stanton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Va Medical Center, Walla Walla, WA 99362 Phone: 509-527-3453 | |
Michael J Tacheny, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349 |