| James J Ko, MD | |
|
4 Industrial Blvd Suite 200, Paoli, PA 19301-1799 | |
| (610) 566-7111 | |
| Not Available |
| Full Name | James J Ko |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 4 Industrial Blvd Suite 200, Paoli, Pennsylvania |
| 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 |
|---|---|---|---|
| 1376076786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD474542 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aesthetic Dermatology Associates Pc | 2466438148 | 11 |
| Entity Name | Dermatology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508257 PECOS PAC ID: 0244120756 Enrollment ID: O20040318000445 |
| Entity Name | Aesthetic Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003845835 PECOS PAC ID: 2466438148 Enrollment ID: O20040624001174 |
| Mailing Address | Practice Location Address |
|---|---|
| James J Ko, MD 176 S. New Middletown Road Suite 203, Media, PA 19063-1761 Ph: (610) 566-7300 | James J Ko, MD 4 Industrial Blvd Suite 200, Paoli, PA 19301-1799 Ph: (610) 566-7111 |
Shelley Sue Schuler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 21 Industrial Blvd Ste 101, Paoli, PA 19301 Phone: 610-647-4161 Fax: 610-647-5397 | |
Dr. Maria Madelyn Hannaway, MD Dermatology Medicare: Medicare Enrolled Practice Location: 21 Industrial Blvd Ste 101, Paoli, PA 19301 Phone: 610-647-4161 | |
Donna Jane Mackay, M.D., PH.D. Dermatology Medicare: Medicare Enrolled Practice Location: 21 Industrial Blvd Ste 101, Paoli, PA 19301 Phone: 610-647-4161 Fax: 610-647-5397 |