| Song Yol Yu, DO | |
|
319 W Delaware St, Decatur, MI 49045-1106 | |
| (269) 423-7028 | |
| (269) 423-8282 |
| Full Name | Song Yol Yu |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 319 W Delaware St, Decatur, Michigan |
| 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 |
|---|---|---|---|
| 1942373089 | NPI | - | NPPES |
| 114993740 | Medicaid | MI | |
| 700H060020 | Other | MI | BCBSM |
| 1942373089 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 5101013501 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward W Sparrow Hospital | Lansing, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edward W Sparrow Hospital Association | 6709799166 | 633 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Song Yol Yu, DO 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-7806 | Song Yol Yu, DO 319 W Delaware St, Decatur, MI 49045-1106 Ph: (269) 423-7028 |
David Joseph Wendling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 319 W Delaware St, Decatur, MI 49045 Phone: 269-423-7028 Fax: 269-423-8282 | |
Diane Marie Elghoul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 W Delaware St, Decatur, MI 49045 Phone: 269-423-7028 | |
Dr. Lester Burkow, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 319 W Delaware St, Decatur, MI 49045 Phone: 269-423-7028 Fax: 269-423-8282 |