Dr Eun Ji Kwon, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Lexington, Massachusetts. She went to University Of Pittsburgh School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Pinkus Dermatopathology Laboratory, Pc and her current practice location is
1 Cranberry Hl Ste 105, Lexington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(800) 325-7284.
Dr Eun Ji Kwon is licensed to practice in Massachusetts (license number 1017784) 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 1780885491.
Physician's Profile
| Full Name | Dr Eun Ji Kwon |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 21 Years |
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| Location | 1 Cranberry Hl Ste 105, Lexington, Massachusetts |
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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 Eun Ji Kwon attended and graduated from University Of Pittsburgh School Of Medicine in 2005
NPI Data:
- NPI Number: 1780885491
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688790439
- Enrollment ID: I20250910000773
Medical Identifiers
Medical identifiers for Dr Eun Ji Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780885491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 69371 (Tennessee) | Secondary |
| 207N00000X | Dermatology | 251783 (New York) | Secondary |
| 207N00000X | Dermatology | 1017784 (Massachusetts) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 251783 (New York) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 69371 (Tennessee) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 1017784 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pinkus Dermatopathology Laboratory, Pc | 8921077884 | 7 |
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 Eun Ji Kwon allows following entities to bill medicare on her behalf.
| Entity Name | Pinkus Dermatopathology Laboratory, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346223377
PECOS PAC ID: 8921077884
Enrollment ID: O20040928000304 |
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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 Eun Ji Kwon 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 Eun Ji Kwon, MD
1 Cranberry Hl Ste 105,
Lexington, MA 02421-7397
Ph: (800) 325-7284 | Dr Eun Ji Kwon, MD
1 Cranberry Hl Ste 105,
Lexington, MA 02421-7397
Ph: (800) 325-7284 |
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