Dr Kyong Yol Ko, MD is a medicare enrolled "Family Medicine" physician in Chaparral, New Mexico. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. His current practice location is
545 S. County Line Dr., Space A, Chaparral, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 824-5007.
Dr Kyong Yol Ko is licensed to practice in New Mexico (license number 2003-0543) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720083322.
Physician's Profile
Full Name | Dr Kyong Yol Ko |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 29 Years |
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Location | 545 S. County Line Dr., Chaparral, New Mexico |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kyong Yol Ko graduated from medical school in 1995
NPI Data:
- NPI Number: 1720083322
- Provider Enumeration Date: 06/20/2005
- Last Update Date: 12/19/2013
Medicare PECOS Information:
- PECOS PAC ID: 0840274064
- Enrollment ID: I20040615001780
Medical Identifiers
Medical identifiers for Dr Kyong Yol Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720083322 | NPI | - | NPPES |
40725391 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2003-0543 (New Mexico) | 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 Kyong Yol Ko allows following entities to bill medicare on his behalf.
Entity Name | County Line Medical Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538199773 PECOS PAC ID: 8820092372 Enrollment ID: O20060914000286 |
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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 Kyong Yol 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 Kyong Yol Ko, MD 101 Green Pasture Ct, Anthony, NM 88021 Ph: (505) 824-5007 | Dr Kyong Yol Ko, MD 545 S. County Line Dr., Space A, Chaparral, NM 88081-7809 Ph: (505) 824-5007 |
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