Jessica Song, is a medicare enrolled "Physical Therapist" physician in Buckeye, Arizona. Her current practice location is
23374 W Yuma Rd Ste 104, Buckeye, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 257-9462.
Jessica Song is licensed to practice in Arizona (license number LPT-32121) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326776477.
Physician's Profile
| Full Name | Jessica Song |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 23374 W Yuma Rd Ste 104, Buckeye, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326776477
- Provider Enumeration Date: 08/08/2022
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486184702
- Enrollment ID: I20250214002974
Medical Identifiers
Medical identifiers for Jessica Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326776477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 070.026406 (Illinois) | Secondary |
| 225100000X | Physical Therapist | LPT-32121 (Arizona) | 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. Jessica Song allows following entities to bill medicare on her behalf.
| Entity Name | Foothills Sports Medicine & Rehabilitation Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558318170
PECOS PAC ID: 2668457979
Enrollment ID: O20040621001886 |
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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. Jessica 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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Jessica Song,
23374 W Yuma Rd Ste 104,
Buckeye, AZ 85326-3120
Ph: () - | Jessica Song,
23374 W Yuma Rd Ste 104,
Buckeye, AZ 85326-3120
Ph: (623) 257-9462 |
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