Dr Jaeha Song, DPM - Medicare Podiatrist in Tempe, AZ

Dr Jaeha Song, DPM is a medicare enrolled "Podiatrist" provider in Tempe, Arizona. He went to Temple University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Livi Medical Services Llc and his current practice location is 2075 S Cottonwood Dr, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 718-0568.

Dr Jaeha Song is licensed to practice in Arizona (license number POD-000896) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700292877.

Contact Information

Dr Jaeha Song, DPM
2075 S Cottonwood Dr,
Tempe, AZ 85282-3040
(480) 718-0568
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jaeha Song
GenderMale
SpecialityPodiatry
Experience12 Years
Location2075 S Cottonwood Dr, Tempe, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jaeha Song attended and graduated from Temple University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1700292877
  • Provider Enumeration Date: 07/09/2014
  • Last Update Date: 04/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103046826
  • Enrollment ID: I20180801002735

Medical Identifiers

Medical identifiers for Dr Jaeha Song such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700292877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist SC006500 (Pennsylvania)Secondary
282N00000XGeneral Acute Care Hospital 65P97423 (New York)Secondary
213E00000XPodiatrist POD-000896 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Livi Medical Services Llc882028303923

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 Jaeha Song allows following entities to bill medicare on his behalf.
Provider NameLivi Medical Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457667750
PECOS PAC ID: 8820283039
Enrollment ID: O20101113000222
Provider NameIntegrated Premier Group Specialty Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770961914
PECOS PAC ID: 0446537096
Enrollment ID: O20170508002145

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 Jaeha 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 AddressPractice Location Address
Dr Jaeha Song, DPM
2075 S Cottonwood Dr,
Tempe, AZ 85282-3040

Ph: (480) 718-0568
Dr Jaeha Song, DPM
2075 S Cottonwood Dr,
Tempe, AZ 85282-3040

Ph: (480) 718-0568

Reviews and Comments


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Medicare: Not Enrolled in Medicare
Practice Location: 4685 S Ash Ave # Siteh1, Tempe, AZ 85282
Phone: 602-638-2718    

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).

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