Sora Song, in Seminole, FL - Medicare Nurse Practitioner

Sora Song, is a medicare enrolled "Nurse Practitioner - Family" in Seminole, Florida. Her current practice location is 8477 Parkwood Blvd, Seminole, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 221-8563.

Sora Song is licensed to practice in New York (license number F342562) 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 1255945887.

Contact Information

	Sora Song,
	8477 Parkwood Blvd, Seminole, FL 33777-2711
	(727) 221-8563
	Not Available

Map and Direction

Provider's Profile

Full Name	Sora Song
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8477 Parkwood Blvd, Seminole, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255945887
Provider Enumeration Date: 09/01/2020
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 7911375944
Enrollment ID: I20221123001948

Medical Identifiers

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

Identifier	Type	State	Issuer
1255945887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F342562 (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. Sora Song allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Walk In Clinic,pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871866871 PECOS PAC ID: 7315194743 Enrollment ID: O20120820001137

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. Sora 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
Sora Song, 8477 Parkwood Blvd, Seminole, FL 33777-2711 Ph: (727) 221-8563	Sora Song, 8477 Parkwood Blvd, Seminole, FL 33777-2711 Ph: (727) 221-8563

Reviews and Comments

Nurse Practitioner Nurses in Seminole, FL

Mrs. Barbara Ann Dziubinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9555 Seminole Blvd, Suite 104, Seminole, FL 33772 Phone: 727-394-1500 Fax: 727-394-1505
Melissa Bibb, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 Seminole Blvd, Suite 104, Seminole, FL 33772 Phone: 727-395-1500 Fax: 727-394-1505
Keanan Lawrence, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11725 Oxford St, Seminole, FL 33772 Phone: 727-225-1366
Teresa Carol Hug, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9209 Seminole Blvd Unit 105, Seminole, FL 33772 Phone: 901-596-6758
Jaison Joseph Luke, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10850 Temple Ter Ste 300, Seminole, FL 33772 Phone: 727-398-5295 Fax: 727-391-2742
Noelle Campbell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10875 Park Blvd Ste C, Seminole, FL 33772 Phone: 727-350-0453 Fax: 727-350-0455
Mrs. Tiffany Newton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11097 Duncan St, Seminole, FL 33772 Phone: 727-688-5971

Sora Song, - Medicare Nurse Practitioner in Seminole, FL