Dean T Koukos, DO | |
86 Wren St, Barnwell, SC 29812 | |
(803) 259-5762 | |
(803) 259-3050 |
Full Name | Dean T Koukos |
---|---|
Gender | Male |
Speciality | Osteopathic Manipulative Medicine |
Experience | 49 Years |
Location | 86 Wren St, Barnwell, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780606640 | NPI | - | NPPES |
008262 | Medicaid | SC | |
0826 | Other | SC | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 826 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Newberry, SC | Home health agency |
Aiken Regional Medical Center | Aiken, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Low Country Health Care System Inc | 4284530940 | 30 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578659942 PECOS PAC ID: 4284530940 Enrollment ID: O20160524000583 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821518556 PECOS PAC ID: 4284530940 Enrollment ID: O20181220002947 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780112912 PECOS PAC ID: 4284530940 Enrollment ID: O20190610001031 |
Entity Name | Low Country Health Care System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306378310 PECOS PAC ID: 4284530940 Enrollment ID: O20200107003426 |
Mailing Address | Practice Location Address |
---|---|
Dean T Koukos, DO 86 Wren St, Barnwell, SC 29812-1529 Ph: (803) 259-5762 | Dean T Koukos, DO 86 Wren St, Barnwell, SC 29812 Ph: (803) 259-5762 |