Dr Grant Norman Ko, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Port Orchard, Washington. His current practice location is
1400 Pottery Ave, Port Orchard, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 895-5000.
Dr Grant Norman Ko is licensed to practice in Washington (license number MD00024074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275657454.
Physician's Profile
| Full Name | Dr Grant Norman Ko |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1400 Pottery Ave, Port Orchard, Washington |
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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: 1275657454
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567526114
- Enrollment ID: I20171101001851
Medical Identifiers
Medical identifiers for Dr Grant Norman Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275657454 | NPI | - | NPPES |
| 17852 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA06989400 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | PT 12664 (North Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G49179 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD00024074 (Washington) | 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. Dr Grant Norman Ko allows following entities to bill medicare on his behalf.
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
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| Entity Name | County Of Santa Clara |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
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| Entity Name | County Of Monterey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467584805 PECOS PAC ID: 2466345632 Enrollment ID: O20040913001243 |
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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. Dr Grant Norman Ko 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 |
Dr Grant Norman Ko, MD 1400 Pottery Ave, Port Orchard, WA 98366-3768 Ph: (360) 895-5000 | Dr Grant Norman Ko, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 |
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