Soo H Ko, AGNP in East Boston, MA - Medicare Nurse Practitioner

Soo H Ko, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in East Boston, Massachusetts. Her current practice location is 10 Gove St, East Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 569-5899.

Soo H Ko is licensed to practice in Massachusetts (license number RN2326883) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114673092.

Contact Information

	Soo H Ko, AGNP
	10 Gove St, East Boston, MA 02128-1931
	(617) 569-5899
	Not Available

Map and Direction

Provider's Profile

Full Name	Soo H Ko
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	10 Gove St, East Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114673092
Provider Enumeration Date: 03/01/2022
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 3173967726
Enrollment ID: I20240222000671

Medical Identifiers

Medical identifiers for Soo H Ko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114673092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2326883 (Massachusetts)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	RN2326883 (Massachusetts)	Primary

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. Soo H Ko allows following entities to bill medicare on her behalf.

Entity Name	Internal Medical Associates-ebnhc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853

Entity Name	East Boston Neighborhood Health Center Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045

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. Soo H 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
Soo H Ko, AGNP 10 Gove St, East Boston, MA 02128-1931 Ph: (617) 569-5899	Soo H Ko, AGNP 10 Gove St, East Boston, MA 02128-1931 Ph: (617) 569-5899

Reviews and Comments

Nurse Practitioner Nurses in East Boston, MA

Ms. Caitlin R Crowley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780
Melissa Gardner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 Meridian St, East Boston, MA 02128 Phone: 413-584-2173
Katherine Henao-martinez, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4585
Michele H Crissman, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780
Jessica Wilcoxson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4685
Candice Elene Newmyer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800
Victoria Marie Chan, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756

Soo H Ko, AGNP - Medicare Nurse Practitioner in East Boston, MA