Dr Boyoung Song, MD | |
1000 East Mountain Blvd., Wilkes-barre, PA 18711-3622 | |
(570) 808-6000 | |
(570) 808-6061 |
Full Name | Dr Boyoung Song |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 15 Years |
Location | 1000 East Mountain Blvd., Wilkes-barre, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528296886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MT205629 (Pennsylvania) | Secondary |
2086S0129X | Surgery - Vascular Surgery | MD456961 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Geisinger-community Medical Center | Scranton, PA | Hospital |
Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
Mailing Address | Practice Location Address |
---|---|
Dr Boyoung Song, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Boyoung Song, MD 1000 East Mountain Blvd., Wilkes-barre, PA 18711-3622 Ph: (570) 808-6000 |
Dr. Bogdan Protyniak, MD, FACS, FASCRS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Mc: 37-62, Wilkes-barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Glen C Jacob, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1175 East Mountain Blvd., Wilkes-barre, PA 18702 Phone: 570-808-1093 Fax: 570-808-7878 | |
Dr. Thomas Andrew Erchinger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd., Wilkes-barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 | |
Jacqueline Clare Oxenberg, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd., Wilkes-barre, PA 18711 Phone: 570-808-2340 Fax: 570-808-7904 |