Mr Jaechol Ahn, PT, LAC is a medicare enrolled "Physical Therapist" provider in Elmhurst, New York. His current practice location is
8523 Broadway Unit D, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 873-2303.
Mr Jaechol Ahn is licensed to practice in New York (license number 031899) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902147499.
Healthcare Provider's Profile
| Full Name | Mr Jaechol Ahn |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 8523 Broadway Unit D, Elmhurst, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902147499
- Provider Enumeration Date: 03/07/2013
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729300819
- Enrollment ID: I20141126001171
Medical Identifiers
Medical identifiers for Mr Jaechol Ahn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902147499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 006977 (New York) | Secondary |
| 225100000X | Physical Therapist | 031899 (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. Mr Jaechol Ahn allows following entities to bill medicare on his behalf.
| Provider Name | Welcome Home Physical Therapy Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1518479807
PECOS PAC ID: 2961764121
Enrollment ID: O20180328000624 |
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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. Mr Jaechol Ahn 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 |
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Mr Jaechol Ahn, PT, LAC
3409 Murray St Fl 2,
Flushing, NY 11354-3948
Ph: (718) 888-1704 | Mr Jaechol Ahn, PT, LAC
8523 Broadway Unit D,
Elmhurst, NY 11373-5866
Ph: (718) 873-2303 |
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