Jahoon Koo, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Stanley, Wisconsin. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Aspirus Stanley Hospital And Clinics Inc and his current practice location is
1120 Pine St, Stanley, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(800) 643-0554.
Jahoon Koo is licensed to practice in Wisconsin (license number APNP8026-33) 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 1629554209.
Provider's Profile
| Full Name | Jahoon Koo |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1120 Pine St, Stanley, Wisconsin |
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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. |
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Medical Education and Training:
- Jahoon Koo graduated from nursing school in 2016
NPI Data:
- NPI Number: 1629554209
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 12/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355692922
- Enrollment ID: I20201028000989
Medical Identifiers
Medical identifiers for Jahoon Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629554209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | APNP8026-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aspirus Stanley Hospital And Clinics Inc | 8325957095 | 24 |
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. Jahoon Koo allows following entities to bill medicare on his behalf.
| Entity Name | Aspirus Stanley Hospital & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356311252
PECOS PAC ID: 8325957095
Enrollment ID: O20040102000347 |
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| Entity Name | Aspirus Medford Hospital & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007 |
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| Entity Name | Aspirus Stanley Hospital & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20140321001620 |
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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. Jahoon Koo 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 |
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Jahoon Koo, ACNPC-AG
12111 W Beloit Rd Apt 6,
Greenfield, WI 53228-1910
Ph: (262) 709-6597 | Jahoon Koo, ACNPC-AG
1120 Pine St,
Stanley, WI 54768-1297
Ph: (800) 643-0554 |
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