| Hannah Song, | |
|
195 Discovery Dr, Brookfield, WI 53045-2862 | |
| (262) 513-7100 | |
| Not Available |
| Full Name | Hannah Song |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 7 Years |
| Location | 195 Discovery Dr, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710476932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD207164 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Song, 195 Discovery Dr, Brookfield, WI 53045-2862 Ph: (262) 513-7100 | Hannah Song, 195 Discovery Dr, Brookfield, WI 53045-2862 Ph: (262) 513-7100 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
James Patrick Russell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Dr. Manish J Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Thomas Joseph Russell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |