Selene Clarissa Koo, MD, PHD in Memphis, TN

Selene Clarissa Koo, MD, PHD is a medicare enrolled "Pathology - Pediatric Pathology" physician in Memphis, Tennessee. Her current practice location is 262 Danny Thomas Pl, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (888) 226-4343.

Selene Clarissa Koo is licensed to practice in Tennessee (license number 62776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205122967.

Contact Information

	Selene Clarissa Koo, MD, PHD
	262 Danny Thomas Pl, Memphis, TN 38105-3678
	(888) 226-4343
	Not Available

Map and Direction

Physician's Profile

Full Name	Selene Clarissa Koo
Gender	Female
Speciality	Pathology - Pediatric Pathology
Location	262 Danny Thomas Pl, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205122967
Provider Enumeration Date: 06/21/2011
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 8325341464
Enrollment ID: I20170926002933

Medical Identifiers

Medical identifiers for Selene Clarissa Koo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205122967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	125059369 (Illinois)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	35.132164 (Ohio)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	62776 (Tennessee)	Secondary
207ZP0213X	Pathology - Pediatric Pathology	62776 (Tennessee)	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. Selene Clarissa Koo allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Pathology Associates Of Columbus, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700860962 PECOS PAC ID: 8527090380 Enrollment ID: O20050901000502

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. Selene Clarissa 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
Selene Clarissa Koo, MD, PHD 262 Danny Thomas Pl # Ms 515, Memphis, TN 38105-3678 Ph: () -	Selene Clarissa Koo, MD, PHD 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (888) 226-4343

Reviews and Comments

Pathology Doctors in Memphis, TN

Marco Ross, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 637 Poplar Ave, Memphis, TN 38105 Phone: 901-222-4621
Armita Bahrami, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300 Fax: 901-595-3842
Dr. Andrzej T Slominski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 930 Madison Ave, Suite 500, Memphis, TN 38103 Phone: 901-725-7551 Fax: 901-725-9721
Bradly D Clark, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3495 Hacks Cross Rd, Memphis, TN 38125 Phone: 901-526-7444 Fax: 901-271-2618
Dr. James R Downing, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105 Phone: 901-495-3006 Fax: 901-495-3842
Mufaddal Najmuddin, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-227-5135
Sonali Lanjewar, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-516-7182 Fax: 901-276-5474

Selene Clarissa Koo, MD, PHD - Medicare Pathology in Memphis, TN