Dr Stephanie Ko, DPM is a medicare enrolled "Podiatrist" provider in Danville, Pennsylvania. She went to California School Of Podiatric Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Petaluma Health Center Inc and her current practice location is
100 N Academy Ave, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 703-8000.
Dr Stephanie Ko is licensed to practice in California (license number 5775) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144754557.
Healthcare Provider's Profile
| Full Name | Dr Stephanie Ko |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 8 Years |
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| Location | 100 N Academy Ave, Danville, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Stephanie Ko attended and graduated from California School Of Podiatric Medicine in 2017
NPI Data:
- NPI Number: 1144754557
- Provider Enumeration Date: 04/13/2017
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749607638
- Enrollment ID: I20250424001711
Medical Identifiers
Medical identifiers for Dr Stephanie Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144754557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 5775 (California) | Primary |
| 213E00000X | Podiatrist | SC006825 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Petaluma Health Center Inc | 9133180375 | 62 |
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. Dr Stephanie Ko allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Stephanie 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 |
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Dr Stephanie Ko, DPM
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559
Ph: (707) 559-7500 | Dr Stephanie Ko, DPM
100 N Academy Ave,
Danville, PA 17822
Ph: (570) 703-8000 |
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