Dr Joseph Song, MA, MD is a medicare enrolled "Urology" physician in Duluth, Georgia. He went to Washington University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Urology. He is a member of the group practice Georgia Urology, Pa, Urological Professional Services, Llc and his current practice location is
3855 Pleasant Hill Rd Ste 220, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 979-9427.
Dr Joseph Song is licensed to practice in Georgia (license number 83055) 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 1487068904.
Physician's Profile
| Full Name | Dr Joseph Song |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 11 Years |
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| Location | 3855 Pleasant Hill Rd Ste 220, Duluth, Georgia |
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| Accepts Medicare Assignments | Yes. He 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 Joseph Song attended and graduated from Washington University School Of Medicine in 2014
NPI Data:
- NPI Number: 1487068904
- Provider Enumeration Date: 06/12/2014
- Last Update Date: 05/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274754817
- Enrollment ID: I20190618002793
Medical Identifiers
Medical identifiers for Dr Joseph Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487068904 | NPI | - | NPPES |
| 2014018120 | Other | MO | MISSOURI LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 83055 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Georgia Urology, Pa | 8921094376 | 88 |
| Urological Professional Services, Llc | 9638391717 | 62 |
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 Joseph Song allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Urology, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245250646
PECOS PAC ID: 8921094376
Enrollment ID: O20040422000123 |
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| Entity Name | Urological Professional Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033521810
PECOS PAC ID: 9638391717
Enrollment ID: O20141104002579 |
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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 Joseph 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 Joseph Song, MA, MD
1930 Brannan Rd,
Mcdonough, GA 30253-4310
Ph: (678) 284-4686 | Dr Joseph Song, MA, MD
3855 Pleasant Hill Rd Ste 220,
Duluth, GA 30096-8030
Ph: (770) 979-9427 |
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