Clara Seihyun Koo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cedar Knolls, New Jersey. Her current practice location is
197 Ridgedale Ave Ste 120, Cedar Knolls, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 695-1290.
Clara Seihyun Koo is licensed to practice in New Jersey (license number 25MA12531400) 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 1831726249.
Physician's Profile
| Full Name | Clara Seihyun Koo |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 197 Ridgedale Ave Ste 120, Cedar Knolls, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831726249
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 04/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022530948
- Enrollment ID: I20250320002076
Medical Identifiers
Medical identifiers for Clara Seihyun Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831726249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA12531400 (New Jersey) | 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. Clara Seihyun Koo allows following entities to bill medicare on her behalf.
| Entity Name | The New Jersey Imaging Network, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629327887 PECOS PAC ID: 2860633492 Enrollment ID: O20130724000791 |
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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. Clara Seihyun 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 |
Clara Seihyun Koo, MD 197 Ridgedale Ave Ste 120, Cedar Knolls, NJ 07927-2107 Ph: (973) 695-1290 | Clara Seihyun Koo, MD 197 Ridgedale Ave Ste 120, Cedar Knolls, NJ 07927-2107 Ph: (973) 695-1290 |
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