Seung Yong Ji, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boise, Idaho. His current practice location is 
900 N Liberty St Ste 400, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at 
(208) 336-4368.
Seung Yong Ji is licensed to practice in * (Not Available) (license number ) 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 1033748660.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Seung Yong Ji | 
|---|
| Gender | Male | 
|---|
| Speciality | Student In An Organized Health Care Education/training Program | 
|---|
| Location | 900 N Liberty St Ste 400, Boise, Idaho | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1033748660
 - Provider Enumeration Date: 04/06/2020
 - Last Update Date: 01/28/2025
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 5294158531
 - Enrollment ID: I20200706001638
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Seung Yong Ji such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1033748660 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 207Y00000X | Otolaryngology  | PG220922 (Oregon) | Secondary | 
| 390200000X | Student In An Organized Health Care Education/training Program  |  (* (Not Available)) | Primary | 
		
		
			
			
			
			
		
		
		 
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. Seung Yong Ji 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 | 
		Seung Yong Ji, MD 2001 N 17th St, Boise, ID 83702-0802 Ph: (215) 350-4624 | Seung Yong Ji, MD 900 N Liberty St Ste 400, Boise, ID 83704-8707 Ph: (208) 336-4368 | 
		
		 
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