Jea Sub Song, is a medicare enrolled "Chiropractor" provider in Ellicott City, Maryland. 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 |
---|
Gender | Male |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 3460 Ellicott Center Dr Ste 102, Ellicott City, Maryland |
---|
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 in
NPI Data:
- NPI Number: 1942682174
- Provider Enumeration Date: 06/24/2015
- Last Update Date: 01/04/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 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 |
Reviews and Comments