Jea Sub Song, is a medicare enrolled "Chiropractor" provider in Ellicott City, Maryland. He went to Life Chiropractic College and graduated in 2007 and has 17 years of diverse experience with area of expertise as Chiropractic. His current practice location is
3460 Ellicott Center Dr Ste 102, Ellicott City, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 465-3074.
Jea Sub Song is licensed to practice in Maryland (license number S03824) 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 1942682174.
Healthcare Provider's Profile
Full Name | Jea Sub Song |
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Gender | Male |
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Speciality | Chiropractic |
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Experience | 17 Years |
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Location | 3460 Ellicott Center Dr Ste 102, Ellicott City, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jea Sub Song attended and graduated from Life Chiropractic College in 2007
NPI Data:
- NPI Number: 1942682174
- Provider Enumeration Date: 06/24/2015
- Last Update Date: 01/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496061434
- Enrollment ID: I20150904001727
Medical Identifiers
Medical identifiers for Jea Sub Song such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942682174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | U02569 (Maryland) | Secondary |
111N00000X | Chiropractor | S03824 (Maryland) | 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. Jea Sub Song allows following entities to bill medicare on his behalf.
Provider Name | Mercy Health Solutions Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1841763562 PECOS PAC ID: 3577802156 Enrollment ID: O20190226000828 |
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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. Jea Sub 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 |
Jea Sub Song, 10414 Braddock Run Rd, Middle River, MD 21220-1931 Ph: (443) 301-3191 | Jea Sub Song, 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 Ph: (410) 465-3074 |
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