Song-chu Ko, MD | |
133 Route 3, Dededo, GU 96929-6544 | |
(671) 645-5500 | |
(671) 645-5549 |
Full Name | Song-chu Ko |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 32 Years |
Location | 133 Route 3, Dededo, Guam |
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 |
---|---|---|---|
1740205921 | NPI | - | NPPES |
000000711556 | Other | IN | ANTHEM PROVIDER NUMBER |
200826200 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 01061833A (Indiana) | Secondary |
2085R0001X | Radiology - Radiation Oncology | M-1915 (Guam) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Catherine Hospital | Garden city, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Care Pa | 7911801014 | 15 |
Heartland Oncology, Llc | 9638302342 | 2 |
Entity Name | Central Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578532081 PECOS PAC ID: 7911801014 Enrollment ID: O20031120000823 |
Entity Name | Heartland Oncology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487075537 PECOS PAC ID: 9638302342 Enrollment ID: O20150119000740 |
Mailing Address | Practice Location Address |
---|---|
Song-chu Ko, MD Po Box 3830, Hagatna, GU 96932-3830 Ph: (671) 645-5500 | Song-chu Ko, MD 133 Route 3, Dededo, GU 96929-6544 Ph: (671) 645-5500 |
Richard S Young, MD Radiology Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-645-5549 | |
Dr. Scott R. Shay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 133 Route 3, Guam Regional Medical City, Dededo, GU 96929 Phone: 671-645-5500 |