Mr Jaechol Ahn, PT, LAC is a medicare enrolled "Physical Therapist" provider in Elmhurst, New York. His current practice location is
8523 Broadway Unit D, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 873-2303.
Mr Jaechol Ahn is licensed to practice in New York (license number 031899) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902147499.
Healthcare Provider's Profile
Full Name | Mr Jaechol Ahn |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 8523 Broadway Unit D, Elmhurst, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902147499
- Provider Enumeration Date: 03/07/2013
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729300819
- Enrollment ID: I20141126001171
Medical Identifiers
Medical identifiers for Mr Jaechol Ahn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902147499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 006977 (New York) | Secondary |
225100000X | Physical Therapist | 031899 (New York) | Primary |
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. Mr Jaechol Ahn 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 |
Mr Jaechol Ahn, PT, LAC 3409 Murray St Fl 2, Flushing, NY 11354-3948 Ph: (718) 888-1704 | Mr Jaechol Ahn, PT, LAC 8523 Broadway Unit D, Elmhurst, NY 11373-5866 Ph: (718) 873-2303 |
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