Dr Eugene Myung Ko, DDS is a
Dentist - Oral And Maxillofacial Pathology physician based in Philadelphia, Pennsylvania. Dr Eugene Myung Ko is licensed to practice in New York (license number 056653) and his current practice location is 240 S 40th St, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 537-8177.
NPI number for Dr Eugene Myung Ko is 1194042309 and his current mailing address is 240 S 40th St, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194042309.
Physician's Profile
| Full Name | Dr Eugene Myung Ko |
|---|
| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Pathology |
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| Location | 240 S 40th St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194042309
- Provider Enumeration Date: 04/27/2010
- Last Update Date: 09/03/2026
Medical Identifiers
Medical identifiers for Dr Eugene Myung Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194042309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2901021194 (Michigan) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | RFD000027 (Pennsylvania) | Secondary |
| 122300000X | Dentist | 2901021194 (Michigan) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 2901021194 (Michigan) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 056653 (New York) | Primary |
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 Eugene Myung Ko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Eugene Myung Ko, DDS
240 S 40th St,
Philadelphia, PA 19104-6030
Ph: (215) 573-8177 | Dr Eugene Myung Ko, DDS
240 S 40th St,
Philadelphia, PA 19104-6030
Ph: (215) 537-8177 |
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