County Line Medical Service Inc is a medicare enrolled primary clinic (Family Medicine) in Chaparral, New Mexico. The current practice location for County Line Medical Service Inc is 545 S County Line Dr Spc A, Chaparral, New Mexico. For appointments, you can reach them via phone at
(575) 824-5007. The mailing address for County Line Medical Service Inc is 545 S County Line Dr Spc A, Chaparral, New Mexico and phone number is (575) 824-5007.
County Line Medical Service Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1538199773. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(575) 824-5007.
Primary Care Clinic Profile
Full Name | County Line Medical Service Inc |
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Speciality | Family Medicine |
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Location | 545 S County Line Dr Spc A, Chaparral, New Mexico |
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Authorized Official Name and Position | Kyong Yol Ko (MD / PRESIDENT) |
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Authorized Official Contact | 5758245007 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
County Line Medical Service Inc 545 S County Line Dr Spc A Chaparral NM 88081-7802 Ph: (575) 824-5007 | County Line Medical Service Inc 545 S County Line Dr Spc A Chaparral NM 88081-7802 Ph: (575) 824-5007 |
NPI Details:
NPI Number | 1538199773 |
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Provider Enumeration Date | 07/04/2006 |
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Last Update Date | 12/10/2013 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 8820092372 |
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Medicare Enrollment ID | O20060914000286 |
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Medical Identifiers
Medical identifiers for County Line Medical Service Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538199773 | NPI | - | NPPES |
DF0606 | Other | | RR MEDICARE |
40725391 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
County Line Medical Service Inc acts as a billing entity for following providers:
Provider Name | Kyong Y Ko |
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Provider Type | Practitioner - Family Practice |
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Provider Identifiers | NPI Number: 1720083322 PECOS PAC ID: 0840274064 Enrollment ID: I20040615001780 |
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