| Tak Ming Ko, MD | |
|
2480 S Woodworth Loop Ste 180, Palmer, AK 99645-7408 | |
| (907) 373-8281 | |
| (855) 212-0736 |
| Full Name | Tak Ming Ko |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 2480 S Woodworth Loop Ste 180, Palmer, Alaska |
| 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 |
|---|---|---|---|
| 1003995713 | NPI | - | NPPES |
| 1019943 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 6953 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uintah Basin Medical Center | Roosevelt, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Utah Medical Group | 2961496609 | 39 |
| Entity Name | Uintah Basin Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948 |
| Entity Name | Northeastern Utah Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Tak Ming Ko, MD 2480 S Woodworth Loop, Ste 180, Palmer, AK 99645-7408 Ph: (907) 373-8281 | Tak Ming Ko, MD 2480 S Woodworth Loop Ste 180, Palmer, AK 99645-7408 Ph: (907) 373-8281 |
Dr. Shannon Gulley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 E Dahlia Ave Ste J, Palmer, AK 99645 Phone: 907-746-1520 Fax: 907-746-1521 | |
Mr. Michael R Senta, M.D., FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645 Phone: 907-745-8100 Fax: 907-746-2655 | |
John Zwiacher, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2490 S Woodworth Loop, Suite 300, Palmer, AK 99645 Phone: 907-357-1917 | |
Dr. Kaitlin Peace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 E Dahlia Ave Ste J, Palmer, AK 99645 Phone: 907-746-1520 Fax: 907-746-1521 | |
Dr. Brent Taylor, MD Surgery Medicare: Medicare Enrolled Practice Location: 2490 S Woodworth Loop Ste 400, Palmer, AK 99645 Phone: 907-745-9400 Fax: 907-745-9444 | |
Sharon K Schaefer, MD Surgery Medicare: Medicare Enrolled Practice Location: 2490 S Woodworth Loop, Suite 300, Palmer, AK 99645 Phone: 907-746-6100 |