Dr Yohan Song, MD in Roswell, GA - Medicare Otolaryngology

Dr Yohan Song, MD is a medicare enrolled "Otolaryngology" physician in Roswell, Georgia. His current practice location is 1360 Upper Hembree Rd Ste 101, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 225-1874.

Dr Yohan Song is licensed to practice in Georgia (license number 90653) 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 1295122265.

Contact Information

	Dr Yohan Song, MD
	1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230
	(770) 225-1874
	(678) 254-0618

Map and Direction

Physician's Profile

Full Name	Dr Yohan Song
Gender	Male
Speciality	Otolaryngology
Location	1360 Upper Hembree Rd Ste 101, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295122265
Provider Enumeration Date: 04/17/2015
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6608290739
Enrollment ID: I20220624001918

Medical Identifiers

Medical identifiers for Dr Yohan Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295122265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	282986 (Massachusetts)	Secondary
207Y00000X	Otolaryngology	90653 (Georgia)	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. Dr Yohan Song allows following entities to bill medicare on his behalf.

Entity Name	Northside Surgical Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598

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. Dr Yohan 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
Dr Yohan Song, MD 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 Ph: (770) 225-1874	Dr Yohan Song, MD 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 Ph: (770) 225-1874

Reviews and Comments

Otolaryngology Doctors in Roswell, GA

Vivek V. Gurudutt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201b, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431
Dr. Andrew Diamond, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431
Sunny Singh Khichi, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Boulevard, Suite 450, Roswell, GA 30076 Phone: 770-343-8675 Fax: 770-343-6297
Dr. Keith Jackson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361
Fiyin Sokoya, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361
Kia Renee Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076 Phone: 770-475-3361 Fax: 770-664-4431

Dr Yohan Song, MD - Medicare Otolaryngology in Roswell, GA