Charles Thomas Koon, MD is a medicare enrolled "Hospitalist" physician in Walla Walla, Washington. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Providence Health And Services - Washington and his current practice location is
401 W Poplar St, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 897-3320.
Charles Thomas Koon is licensed to practice in Washington (license number MD61016069) 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 1467815886.
Physician's Profile
| Full Name | Charles Thomas Koon |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 11 Years |
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| Location | 401 W Poplar St, Walla Walla, Washington |
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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. |
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Medical Education and Training:
- Charles Thomas Koon graduated from medical school in 2015
NPI Data:
- NPI Number: 1467815886
- Provider Enumeration Date: 04/02/2016
- Last Update Date: 02/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325385719
- Enrollment ID: I20210212002032
Medical Identifiers
Medical identifiers for Charles Thomas Koon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467815886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD61016069 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | MD61016069 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Health And Services - Washington | 2860552973 | 223 |
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. Charles Thomas Koon allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services - Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922259738
PECOS PAC ID: 2860552973
Enrollment ID: O20081223000478 |
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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. Charles Thomas Koon 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 |
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Charles Thomas Koon, MD
Po Box 32,
Liberty Lake, WA 99019-0032
Ph: (866) 747-2455 | Charles Thomas Koon, MD
401 W Poplar St,
Walla Walla, WA 99362-2846
Ph: (509) 897-3320 |
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