Brian Ko, PA-C is a medicare enrolled "Physician Assistant - Medical" in Manhattan Bch, California. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Centinela Freeman Emergency Medical Associates Inc and his current practice location is
111 N Sepulveda Blvd Ste 210, Manhattan Bch, California. You can reach out to his office (for appointments etc.) via phone at
(310) 379-2134.
Brian Ko is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790136430.
Provider's Profile
| Full Name | Brian Ko |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 111 N Sepulveda Blvd Ste 210, Manhattan Bch, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brian Ko graduated from nursing school in 2016
NPI Data:
- NPI Number: 1790136430
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 11/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931483005
- Enrollment ID: I20170309001120
Medical Identifiers
Medical identifiers for Brian Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790136430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Centinela Freeman Emergency Medical Associates Inc | 0042469108 | 19 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Ko allows following entities to bill medicare on his behalf.
| Entity Name | County of Los Angeles |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
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| Entity Name | Centinela Freeman Emergency Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528333101 PECOS PAC ID: 0042469108 Enrollment ID: O20121004000437 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Ko is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brian Ko, PA-C 111 N Sepulveda Blvd Ste 210, Manhattan Bch, CA 90266-6849 Ph: (310) 379-2134 | Brian Ko, PA-C 111 N Sepulveda Blvd Ste 210, Manhattan Bch, CA 90266-6849 Ph: (310) 379-2134 |
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