Dr Angie U Song, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Lompoc, California. She went to George Washington University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Lompoc Valley Medical Center and her current practice location is
1225 N H St, Lompoc, California. You can reach out to her office (for appointments etc.) via phone at
(805) 737-8700.
Dr Angie U Song is licensed to practice in California (license number G84700) 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 1982605259.
Physician's Profile
| Full Name | Dr Angie U Song |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 31 Years |
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| Location | 1225 N H St, Lompoc, California |
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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 Angie U Song attended and graduated from George Washington University School Of Medicine in 1993
NPI Data:
- NPI Number: 1982605259
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 05/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446234595
- Enrollment ID: I20190429001409
Medical Identifiers
Medical identifiers for Dr Angie U Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982605259 | NPI | - | NPPES |
| 174028401 | Medicaid | TX | |
| 8S2230 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 60136134 (Washington) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | G84700 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lompoc Valley Medical Center | 9739275595 | 49 |
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 Angie U Song allows following entities to bill medicare on her behalf.
| Entity Name | Lompoc Valley Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649282856
PECOS PAC ID: 9739275595
Enrollment ID: O20090506000381 |
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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 Angie U Song 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 Angie U Song, MD
3655 Evergreen Pt Rd,
Medina, WA 98039
Ph: (425) 324-6144 | Dr Angie U Song, MD
1225 N H St,
Lompoc, CA 93436-3301
Ph: (805) 737-8700 |
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