Dr Raphael Jaewon Yoo, MD in San Diego, CA

Dr Raphael Jaewon Yoo, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in San Diego, California. His current practice location is 3020 Children's Way, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 966-8863.

Dr Raphael Jaewon Yoo is licensed to practice in California (license number C194824) 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 1154559037.

Contact Information

	Dr Raphael Jaewon Yoo, MD
	3020 Children's Way, San Diego, CA 92132-5502
	(858) 966-8863
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Raphael Jaewon Yoo
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	3020 Children's Way, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154559037
Provider Enumeration Date: 06/30/2009
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8426342957
Enrollment ID: I20160806000027

Medical Identifiers

Medical identifiers for Dr Raphael Jaewon Yoo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154559037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	25MA10636200 (New Jersey)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	C194824 (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 Raphael Jaewon Yoo allows following entities to bill medicare on his behalf.

Entity Name	Texas Childrens Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209

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 Raphael Jaewon Yoo 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 Raphael Jaewon Yoo, MD 3020 Childrens Way # Mc5003, San Diego, CA 92123-4223 Ph: (858) 309-6300	Dr Raphael Jaewon Yoo, MD 3020 Children's Way, San Diego, CA 92132-5502 Ph: (858) 966-8863

Reviews and Comments

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Dr Raphael Jaewon Yoo, MD - Medicare Radiology in San Diego, CA