Myoungsu Song, in Champaign, IL - Medicare Dentist Provider

Myoungsu Song, is a medicare enrolled "Dentist - General Practice" provider in Champaign, Illinois. His current practice location is 819 Bloomington Rd, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 356-1558.

Myoungsu Song is licensed to practice in Illinois (license number 019032794) 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 1154932218.

Contact Information

	Myoungsu Song,
	819 Bloomington Rd, Champaign, IL 61820-2101
	(217) 356-1558
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Myoungsu Song
Gender	Male
Speciality	Dentist - General Practice
Location	819 Bloomington Rd, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154932218
Provider Enumeration Date: 08/12/2020
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5597138552
Enrollment ID: I20230222002651

Medical Identifiers

Medical identifiers for Myoungsu Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154932218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019032794 (Illinois)	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. Myoungsu Song allows following entities to bill medicare on his behalf.

Entity Name	Promise Healthcare Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578821005 PECOS PAC ID: 6103071345 Enrollment ID: O20130219000476

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. Myoungsu 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
Myoungsu Song, 2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166 Ph: (888) 988-4066	Myoungsu Song, 819 Bloomington Rd, Champaign, IL 61820-2101 Ph: (217) 356-1558

Reviews and Comments

Dentist in Champaign, IL

Jae Ung Jung, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Springfield Ave, Champaign, IL 61821 Phone: 888-988-4066
Dr. Robert Benjamin Scott, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 805 W. Springfield Ave., Champaign, IL 61820 Phone: 217-352-5088
Oluwatosin Hannah Ayo-okuwobi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Springfield Ave, Champaign, IL 61821 Phone: 888-988-4066
Dr. Venu Maturi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14 E Anthony Dr, Suite B, Champaign, IL 61820 Phone: 217-398-1660 Fax: 217-398-1657
Dr. William Ray Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 507 S Second St, Champaign, IL 61820 Phone: 217-356-1189 Fax: 217-356-1742
Dr. Erika Ynga, DDS Dentist Medicare: Medicare Enrolled Practice Location: 703 S Neil St, Champaign, IL 61820 Phone: 217-398-2244 Fax: 217-398-9188
Thomas E Standley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 E Green Street, Suite 1, Champaign, IL 61820 Phone: 217-355-5600 Fax: 217-355-4550

Myoungsu Song, - Medicare Dentist in Champaign, IL