| Dr Jaekyung Song, MD | |
|
914 S Scheuber Rd, Centralia, WA 98531 | |
| (360) 330-8976 | |
| Not Available |
| Full Name | Dr Jaekyung Song |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 914 S Scheuber Rd, Centralia, Washington |
| 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 |
|---|---|---|---|
| 1972700656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD60377532 (Washington) | Secondary |
| 207R00000X | Internal Medicine | MD60377532 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Capital Medical Center | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 91 |
| Providence Health And Services Washington | 6709782600 | 428 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376624981 PECOS PAC ID: 9234048323 Enrollment ID: O20040227000254 |
| Entity Name | Capital Medical Center Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaekyung Song, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr Jaekyung Song, MD 914 S Scheuber Rd, Centralia, WA 98531 Ph: (360) 330-8976 |
Ramona Anderson, RN Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-7966 | |
David Fick, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803 | |
Eric S Swanson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-8811 | |
Dr. Romil Wadhawan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1010 S Scheuber Rd, Suite 3&4, Centralia, WA 98531 Phone: 360-807-7966 Fax: 360-807-7977 | |
Dr. Floyd D Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 Kresky Ave, Suite 112, Centralia, WA 98531 Phone: 360-330-2023 Fax: 360-623-1585 | |
Katie Elizabeth Kunnen, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-8811 Fax: 360-330-8969 | |
Dr. Iftikhar Ali Ch, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Providence Centralia Hos- Ekg, Centralia, WA 98531 Phone: 370-736-2803 |