Swdj Llc is a medicare enrolled "Technician/technologist" provider in New York, New York. Their current practice location is
15 Division St, New York, New York. You can reach out to their office (for appointments etc.) via phone at
(646) 476-5210.
Swdj Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Swdj Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1154024768.
Healthcare Provider's Profile
| Full Name | Swdj Llc |
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| Type | Facility |
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| Speciality | Technician/technologist |
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| Location | 15 Division St, New York, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154024768
- Provider Enumeration Date: 03/23/2023
- Last Update Date: 04/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133584220
- Enrollment ID: O20230425000254
Medical Identifiers
Medical identifiers for Swdj Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154024768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156F00000X | Technician/technologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Swdj Llc acts as a billing entity for following providers:
| Provider Name | Christy Jooeun Park |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1972225290
PECOS PAC ID: 1759746845
Enrollment ID: I20230425000323 |
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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. Swdj Llc 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 |
|---|
Swdj Llc
15 Division St,
New York, NY 10002-6710
Ph: (646) 476-5210 | Swdj Llc
15 Division St,
New York, NY 10002-6710
Ph: (646) 476-5210 |
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