Dr Jae Yoon Shin, DPM is a medicare enrolled "Podiatrist" provider in Long Island City, New York. His current practice location is
4220 27th St Apt 515, Long Island City, New York. You can reach out to his office (for appointments etc.) via phone at
(267) 269-7127.
Dr Jae Yoon Shin is licensed to practice in New Jersey (license number 25MD00365800) 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 1396088803.
Healthcare Provider's Profile
| Full Name | Dr Jae Yoon Shin |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4220 27th St Apt 515, Long Island City, New York |
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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. |
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Medical Education and Training:
- Dr Jae Yoon Shin attended and graduated from in
NPI Data:
- NPI Number: 1396088803
- Provider Enumeration Date: 04/03/2013
- Last Update Date: 02/01/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jae Yoon Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396088803 | NPI | - | NPPES |
| 25MD00365800 | Other | NJ | PODIATRIC LICENSE |
| POD001311 | Other | GA | PODIATRIC LICENSE |
| N007210-01 | Other | NY | PODIATRIC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | N00721001 (New York) | Secondary |
| 213E00000X | Podiatrist | POD001311 (Georgia) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 25MD00365800 (New Jersey) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00365800 (New Jersey) | Secondary |
| 213E00000X | Podiatrist | 25MD00365800 (New Jersey) | 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. Dr Jae Yoon Shin 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 |
|---|
Dr Jae Yoon Shin, DPM
4220 27th St Apt 515,
Long Island City, NY 11101-8618
Ph: (267) 269-7127 | Dr Jae Yoon Shin, DPM
4220 27th St Apt 515,
Long Island City, NY 11101-8618
Ph: (267) 269-7127 |
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