| Jonathan K Song, DO | |
|
13943 N 91st Ave Bldg E, Peoria, AZ 85381-3629 | |
| (602) 262-8917 | |
| (602) 262-8890 |
| Full Name | Jonathan K Song |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 9 Years |
| Location | 13943 N 91st Ave Bldg E, Peoria, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902260227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 009208 (Arizona) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 009208 (Arizona) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Neurological Institute, Inc | 9931287711 | 18 |
| Entity Name | Valley Anesthesiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285660704 PECOS PAC ID: 4880591841 Enrollment ID: O20031217000620 |
| Entity Name | Ajay Narwani Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275736829 PECOS PAC ID: 9234227679 Enrollment ID: O20071119000032 |
| Entity Name | Phoenix Neurological Institute, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336319086 PECOS PAC ID: 9931287711 Enrollment ID: O20080418000363 |
| Entity Name | Arizona Pain Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700030939 PECOS PAC ID: 2668536418 Enrollment ID: O20090123000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan K Song, DO 645 E Missouri Ave Ste 300, Phoenix, AZ 85012-1351 Ph: (602) 262-8917 | Jonathan K Song, DO 13943 N 91st Ave Bldg E, Peoria, AZ 85381-3629 Ph: (602) 262-8917 |
Dr. Terry L Bagley, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 13451 N 94th Dr, Peoria, AZ 85381 Phone: 623-303-7101 | |
Dr. Augustine Changdae Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381 Phone: 480-581-3600 Fax: 480-581-3600 | |
Sarah Mi May, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8765 W Kelton Ln Ste 116, Peoria, AZ 85382 Phone: 623-977-4911 | |
Dr. Natalya B Faynboym, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9165 W Thunderbird Rd, Ste 100, Peoria, AZ 85381 Phone: 623-523-6560 Fax: 623-523-6581 | |
Dr. Paul Anthony Pannozzo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8877 W Union Hills Dr Ste 200, Peoria, AZ 85382 Phone: 623-776-8686 Fax: 623-776-8687 | |
Jack Joel Little, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9000 W Thunderbird Rd # 205, Peoria, AZ 85381 Phone: 602-491-1948 Fax: 720-925-5897 | |
Mrs. Alicia Joy Beanblossom, L.M.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6853 W Ironwood Dr, Peoria, AZ 85345 Phone: 623-826-9116 |