Dr Philip Song, MD in Antioch, CA - Medicare Dermatology

Dr Philip Song, MD is a medicare enrolled "Dermatology" physician in Antioch, California. His current practice location is 3400 Delta Fair Blvd, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (925) 817-5600.

Dr Philip Song is licensed to practice in California (license number A161047) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083859888.

Contact Information

	Dr Philip Song, MD
	3400 Delta Fair Blvd, Antioch, CA 94509-4004
	(925) 817-5600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Philip Song
Gender	Male
Speciality	Dermatology
Location	3400 Delta Fair Blvd, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083859888
Provider Enumeration Date: 12/08/2008
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 3971761032
Enrollment ID: I20161117000222

Medical Identifiers

Medical identifiers for Dr Philip Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083859888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A161047 (California)	Primary

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 Philip Song allows following entities to bill medicare on his behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043250616 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000519

Entity Name	Beth Israel Deaconess Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827

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 Philip 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
Dr Philip Song, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: () -	Dr Philip Song, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 817-5600

Reviews and Comments

Dermatology Doctors in Antioch, CA

Philip F. Nelson, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500
Elizabeth Seidler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5187
Dr. Noel Tsun-dah Chiu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3436 Hillcrest Ave, Suite 150, Antioch, CA 94531 Phone: 925-754-6767
Monica Huynh, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-817-5600

Dr Philip Song, MD - Medicare Dermatology in Antioch, CA