| Dr Jason T Koo, MD | |
|
13249 Cascade Glen Dr, Draper, UT 84020-7146 | |
| (801) 572-5226 | |
| Not Available |
| Full Name | Dr Jason T Koo |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 13249 Cascade Glen Dr, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720005317 | NPI | - | NPPES |
| 173049102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | M1188 (Texas) | Primary |
| Entity Name | Skilled Facility Health Care Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20120530000296 |
| Entity Name | Skilled Biologics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376386763 PECOS PAC ID: 4880132760 Enrollment ID: O20240914000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason T Koo, MD 13249 Cascade Glen Dr, Draper, UT 84020-7146 Ph: (801) 572-5226 | Dr Jason T Koo, MD 13249 Cascade Glen Dr, Draper, UT 84020-7146 Ph: (801) 572-5226 |
Miles Mckee, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 E 12300 S, Draper, UT 84020 Phone: 385-337-4711 Fax: 435-292-7076 | |
Justin D Atherton, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 306, Draper, UT 84020 Phone: 801-999-2432 | |
Dr. Devan Griner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |