Dr John Young Ko, DO in Las Vegas, NV - Medicare Student in an Organized Health Care Education/Training Program

Dr John Young Ko, DO - Medicare Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Dr John Young Ko, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. His current practice location is 620 Shadow Ln, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 388-8436.

Dr John Young Ko is licensed to practice in Nevada (license number SL1890) 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 1033841101.

Contact Information

	Dr John Young Ko, DO
	620 Shadow Ln, Las Vegas, NV 89106-4119
	(702) 388-8436
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Young Ko
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	620 Shadow Ln, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033841101
Provider Enumeration Date: 06/28/2022
Last Update Date: 01/19/2025

Medicare PECOS Information:

PECOS PAC ID: 1052791787
Enrollment ID: I20220712000711

Medical Identifiers

Medical identifiers for Dr John Young Ko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033841101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	DO3792 (Nevada)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	SL1890 (Nevada)	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. Dr John Young Ko 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 John Young Ko, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 388-8436	Dr John Young Ko, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 388-8436