John J Koo Md Inc - Medicare Primary Care in Kailua, HI

John J Koo Md Inc is a medicare enrolled primary clinic (Internal Medicine) in Kailua, Hawaii. The current practice location for John J Koo Md Inc is 640 Ulukahiki St, Kailua, Hawaii. For appointments, you can reach them via phone at (808) 263-5500. The mailing address for John J Koo Md Inc is Po Box 25490, Honolulu, Hawaii and phone number is (808) 536-0300.

John J Koo Md Inc is licensed to practice in Hawaii (license number MD-14092). The clinic also participates in the medicare program and its NPI number is 1275826307. 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 (808) 263-5500.

Contact Information

John J Koo Md Inc
640 Ulukahiki St
Kailua
HI 96734-4454
(808) 263-5500
Not Available

Primary Care Clinic Profile

Full NameJohn J Koo Md Inc
SpecialityInternal Medicine
Location640 Ulukahiki St, Kailua, Hawaii
Authorized Official Name and PositionJohn J Koo (OWNER)
Authorized Official Contact8083521981
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John J Koo Md Inc
Po Box 25490
Honolulu
HI 96825-0490

Ph: (808) 536-0300
John J Koo Md Inc
640 Ulukahiki St
Kailua
HI 96734-4454

Ph: (808) 263-5500

NPI Details:

NPI Number1275826307
Provider Enumeration Date05/23/2011
Last Update Date05/23/2011

Medicare PECOS Information:

Medicare PECOS PAC ID7517135304
Medicare Enrollment IDO20110721000725

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Medical Identifiers

Medical identifiers for John J Koo Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275826307NPI-NPPES
591041MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD-14092 (Hawaii)Primary
208M00000XHospitalist MD-14092 (Hawaii)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. John J Koo Md Inc acts as a billing entity for following providers:
Provider NameJohn J Koo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477617561
PECOS PAC ID: 8325141617
Enrollment ID: I20070306000631

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