Tae Kyung Song, MD | |
300 Pasteur Dr, Room H3600, Stanford, CA 94305-2200 | |
(650) 723-3639 | |
Not Available |
Full Name | Tae Kyung Song |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 23 Years |
Location | 300 Pasteur Dr, Stanford, California |
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 |
---|---|---|---|
1043407430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | A81297 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - South Bay | Harbor city, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 7951 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Tae Kyung Song, MD 300 Pasteur Dr, Room H3600, Stanford, CA 94305-2200 Ph: (650) 723-3639 | Tae Kyung Song, MD 300 Pasteur Dr, Room H3600, Stanford, CA 94305-2200 Ph: (650) 723-3639 |
Arden Marie Morris, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Rm H3591 Mc 5641, Stanford, CA 94305 Phone: 650-498-6000 | |
Hannah Priddy, Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 723-650-4000 | |
James D Brooks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Shelley Maithel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Bonnie Erica Chow, MD Surgery Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Derrick Check Wan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |