Dr Jeffrey Soon Bong, DO - Medicare Diagnostic Radiology in Port St Lucie, FL

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Dr Jeffrey Soon Bong, DO is a medicare enrolled "Radiology - Diagnostic Neuroimaging" physician in Port St Lucie, Florida. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2004 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Associates Of South Carolina Llc, Mclaren Medical Group and his current practice location is 451 Sw Bethany Dr, Suite 102, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (630) 430-5085.

Dr Jeffrey Soon Bong is licensed to practice in Michigan (license number 5101016635) 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 1881800621.

Contact Information

Dr Jeffrey Soon Bong, DO
451 Sw Bethany Dr, Suite 102,
Port St Lucie, FL 34986-1964
(630) 430-5085
Not Available

Map and Direction




Physician's Profile

Full NameDr Jeffrey Soon Bong
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
Location451 Sw Bethany Dr, Port St Lucie, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeffrey Soon Bong attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004
  NPI Data:
  • NPI Number: 1881800621
  • Provider Enumeration Date: 05/16/2007
  • Last Update Date: 01/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2567512460
  • Enrollment ID: I20110711000012

Medical Identifiers

Medical identifiers for Dr Jeffrey Soon Bong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881800621NPI-NPPES
5101016635OtherMIMICHIGAN LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085D0003XRadiology - Diagnostic Neuroimaging 5101016635 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Francis-downtownGreenville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Associates Of South Carolina Llc377993295982
Mclaren Medical Group3971416082314

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 Jeffrey Soon Bong allows following entities to bill medicare on his behalf.
Entity NameImaging Associates Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699072611
PECOS PAC ID: 1254503345
Enrollment ID: O20190905000926
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20190917004315
Entity NameRadiology Associates Of South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083491906
PECOS PAC ID: 3779932959
Enrollment ID: O20240116002435
Entity NameRadiology Associates Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841015245
PECOS PAC ID: 8628507811
Enrollment ID: O20250203002022
Entity NameRadiology Associates Of Illinois Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710708771
PECOS PAC ID: 0345775599
Enrollment ID: O20250409002360
Entity NamePennsylvania Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184443921
PECOS PAC ID: 4385170810
Enrollment ID: O20250429002303

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 Jeffrey Soon Bong 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 AddressPractice Location Address
Dr Jeffrey Soon Bong, DO
2840 Reynolds Dr,
Winston Salem, NC 27104-1904

Ph: (586) 949-4946		Dr Jeffrey Soon Bong, DO
451 Sw Bethany Dr, Suite 102,
Port St Lucie, FL 34986-1964

Ph: (630) 430-5085

Reviews and Comments


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Alexander N Vennos, MD
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Alex Sarmen Mirakian,
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Phone: 772-281-3060    Fax: 772-281-3055

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.