Jiyoun Song, in Flushing, NY - Medicare Nurse Practitioner

Jiyoun Song, is a medicare enrolled "Nurse Practitioner - Acute Care" in Flushing, New York. Her current practice location is 15408 Northern Blvd, #2k, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 445-0200.

Jiyoun Song is licensed to practice in New York (license number 431104) 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 1003347253.

Contact Information

	Jiyoun Song,
	15408 Northern Blvd, #2k, Flushing, NY 11354-5040
	(718) 445-0200
	Not Available

Map and Direction

Provider's Profile

Full Name	Jiyoun Song
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	15408 Northern Blvd, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003347253
Provider Enumeration Date: 03/21/2017
Last Update Date: 03/21/2017

Medicare PECOS Information:

PECOS PAC ID: 6204214802
Enrollment ID: I20220610001304

Medical Identifiers

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

Identifier	Type	State	Issuer
1003347253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	694059 (New York)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	431104 (New York)	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. Jiyoun Song allows following entities to bill medicare on her behalf.

Entity Name	Park Avenue Pediatrics Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699969543 PECOS PAC ID: 6507010592 Enrollment ID: O20130128000388

Entity Name	Parcare Community Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730454083 PECOS PAC ID: 4981823390 Enrollment ID: O20140917002207

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. Jiyoun 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
Jiyoun Song, 15408 Northern Blvd, #2k, Flushing, NY 11354-5040 Ph: (718) 445-0200	Jiyoun Song, 15408 Northern Blvd, #2k, Flushing, NY 11354-5040 Ph: (718) 445-0200

Reviews and Comments

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Jiyoun Song, - Medicare Nurse Practitioner in Flushing, NY