Dr Kathryn Han Koo, PHD is a medicare enrolled "Psychologist" provider in Stanton, California. Her current practice location is
12362 Beach Blvd Ste 10, Stanton, California. You can reach out to her office (for appointments etc.) via phone at
(714) 248-9500.
Dr Kathryn Han Koo is licensed to practice in California (license number 30260) 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 1356821060.
Healthcare Provider's Profile
Full Name | Dr Kathryn Han Koo |
---|
Gender | Female |
---|
Speciality | Psychologist |
---|
Location | 12362 Beach Blvd Ste 10, Stanton, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356821060
- Provider Enumeration Date: 08/21/2018
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274890181
- Enrollment ID: I20181025001874
Medical Identifiers
Medical identifiers for Dr Kathryn Han Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356821060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 30260 (California) | 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 Kathryn Han Koo allows following entities to bill medicare on her behalf.
Entity Name | Livingstone Community Development Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1952662686 PECOS PAC ID: 9931323706 Enrollment ID: O20140724002386 |
---|
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 Kathryn Han 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 |
Dr Kathryn Han Koo, PHD 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944 Ph: (714) 248-9500 | Dr Kathryn Han Koo, PHD 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944 Ph: (714) 248-9500 |
Reviews and Comments