Mr Sung Ryan Shin, PA-C, DHSC - Medicare Physician Assistant in Mc Lean, VA

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Mr Sung Ryan Shin, PA-C, DHSC is a medicare enrolled "Physician Assistant" in Mc Lean, Virginia. His current practice location is 6858 Old Dominion Dr Ste 102, Mc Lean, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 847-9800.

Mr Sung Ryan Shin is licensed to practice in Virginia (license number 0110003258) 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 1912220112.

Contact Information

Mr Sung Ryan Shin, PA-C, DHSC
6858 Old Dominion Dr Ste 102,
Mc Lean, VA 22101-3832
(703) 847-9800
Not Available

Map and Direction




Provider's Profile

Full NameMr Sung Ryan Shin
GenderMale
SpecialityPhysician Assistant
Location6858 Old Dominion Dr Ste 102, Mc Lean, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912220112
  • Provider Enumeration Date: 03/02/2010
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325164320
  • Enrollment ID: I20100928000435

Medical Identifiers

Medical identifiers for Mr Sung Ryan Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912220112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110003258 (Virginia)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. Mr Sung Ryan Shin allows following entities to bill medicare on his behalf.
Entity NameAmerican Current Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003090879
PECOS PAC ID: 9739260019
Enrollment ID: O20110204000820
Entity NameInova Ucc LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508592114
PECOS PAC ID: 7012385040
Enrollment ID: O20221201001300

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. Mr Sung Ryan Shin 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 AddressPractice Location Address
Mr Sung Ryan Shin, PA-C, DHSC
3833 Farr Oak Cir,
Fairfax, VA 22030-2438

Ph: (571) 235-2828		Mr Sung Ryan Shin, PA-C, DHSC
6858 Old Dominion Dr Ste 102,
Mc Lean, VA 22101-3832

Ph: (703) 847-9800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.