| Timothy Yee-tak Ko, MD | |
|
2374 Village Common Dr Ste 100, Erie, PA 16506-7201 | |
| (814) 833-7246 | |
| (814) 833-1147 |
| Full Name | Timothy Yee-tak Ko |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 22 Years |
| Location | 2374 Village Common Dr Ste 100, Erie, 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 |
|---|---|---|---|
| 1285847699 | NPI | - | NPPES |
| 1023171040002 | Medicaid | PA | |
| 2769311 | Medicaid | OH | |
| 003665938 | Other | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD462767 (Pennsylvania) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35.087753 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crystal Clinic Orthopaedic Center | Akron, OH | Hospital |
| Edgewood Surgical Hospital | Transfer, PA | Hospital |
| Upmc Horizon | Greenville, PA | Hospital |
| Akron General Medical Center | Akron, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Group Llc | 0143453670 | 43 |
| Pain Management Group Llc | 0143453670 | 43 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Entity Name | Pain Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20140616001217 |
| Entity Name | Crystal Clinic Orthopaedic Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669669917 PECOS PAC ID: 6507934015 Enrollment ID: O20150730012144 |
| Entity Name | Tri-state Pain Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106323 PECOS PAC ID: 2860563152 Enrollment ID: O20190724001141 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Yee-tak Ko, MD 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 Ph: (814) 833-7246 | Timothy Yee-tak Ko, MD 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 Ph: (814) 833-7246 |
Joseph Martin Thomas, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5442 Peach St, Erie, PA 16509 Phone: 814-833-7246 Fax: 814-833-1147 | |
Theodore Gary Eckman, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1910 Sassafras St Ste 300, Erie, PA 16502 Phone: 814-452-7246 Fax: 814-452-7244 | |
Jithendra Rai, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2620 Sigsbee Street, Erie, PA 16508 Phone: 814-454-4599 Fax: 814-454-4503 | |
Dr. Alberto M Cabantog, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 W 11th St Ste 103, Erie, PA 16501 Phone: 814-790-5111 |