Ki Tae Maeng, PT, LAC is a medicare enrolled "Physical Therapist" provider in Flushing, New York. He graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
3625 Parsons Blvd, Unit L1, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 353-7575.
Ki Tae Maeng is licensed to practice in New York (license number 034739) 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 1104088798.
Healthcare Provider's Profile
| Full Name | Ki Tae Maeng |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 28 Years |
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| Location | 3625 Parsons Blvd, Flushing, New York |
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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:
- Ki Tae Maeng graduated from medical school in 1998
NPI Data:
- NPI Number: 1104088798
- Provider Enumeration Date: 06/26/2008
- Last Update Date: 03/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 4284817172
- Enrollment ID: I20110331000003
Medical Identifiers
Medical identifiers for Ki Tae Maeng such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104088798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 007748 (New York) | Secondary |
| 225100000X | Physical Therapist | 034739 (New York) | 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. Ki Tae Maeng allows following entities to bill medicare on his behalf.
| Provider Name | Flushing Physical Therapy Wellness PC |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1942693031
PECOS PAC ID: 8325369176
Enrollment ID: O20150604001247 |
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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. Ki Tae Maeng 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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Ki Tae Maeng, PT, LAC
3625 Parsons Blvd Apt L1,
Flushing, NY 11354-5929
Ph: (718) 353-7575 | Ki Tae Maeng, PT, LAC
3625 Parsons Blvd, Unit L1,
Flushing, NY 11354
Ph: (718) 353-7575 |
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