Ms Seungye Jeon, is a medicare enrolled "Physical Therapist" provider in Gaithersburg, Maryland. Her current practice location is
211 Perry Pkwy, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 916-8540.
Ms Seungye Jeon is licensed to practice in Maryland (license number 26084) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063835494.
Healthcare Provider's Profile
Full Name | Ms Seungye Jeon |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 211 Perry Pkwy, Gaithersburg, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063835494
- Provider Enumeration Date: 01/21/2014
- Last Update Date: 10/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577835982
- Enrollment ID: I20210520001999
Medical Identifiers
Medical identifiers for Ms Seungye Jeon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063835494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 006017 (New York) | Secondary |
225100000X | Physical Therapist | 035505 (New York) | Secondary |
225100000X | Physical Therapist | 26084 (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. Ms Seungye Jeon allows following entities to bill medicare on her behalf.
Provider Name | Mosaddegh Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1376841148 PECOS PAC ID: 5698952422 Enrollment ID: O20110603000514 |
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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. Ms Seungye Jeon 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 |
Ms Seungye Jeon, 14447 38th Ave Apt 2, Flushing, NY 11354-5954 Ph: (347) 933-2448 | Ms Seungye Jeon, 211 Perry Pkwy, Gaithersburg, MD 20877-2144 Ph: (301) 916-8540 |
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