Brenton Jay Seung Hoon Song, DO - Medicare Psychiatry & Neurology in Erie, PA

  1. Home
  2. Psychiatry & Neurology
  3. PA
  4. Erie
Brenton Jay Seung Hoon Song, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Erie, Pennsylvania. His current practice location is 4740 Peach St, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 454-3174.

Brenton Jay Seung Hoon Song is licensed to practice in Pennsylvania (license number OS021405) 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 1184117004.

Contact Information

Brenton Jay Seung Hoon Song, DO
4740 Peach St,
Erie, PA 16509-2008
(814) 454-3174
(814) 616-8002

Map and Direction




Physician's Profile

Full NameBrenton Jay Seung Hoon Song
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location4740 Peach St, Erie, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184117004
  • Provider Enumeration Date: 06/14/2018
  • Last Update Date: 05/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012374630
  • Enrollment ID: I20230613000740

Medical Identifiers

Medical identifiers for Brenton Jay Seung Hoon Song such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184117004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry OS021405 (Pennsylvania)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. Brenton Jay Seung Hoon Song allows following entities to bill medicare on his behalf.
Entity NameCounselling Services Center Of Southeastern Erie County, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417968439
PECOS PAC ID: 7214975283
Enrollment ID: O20050420000647
Entity NameMedical Associates Of Erie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649205816
PECOS PAC ID: 2769402783
Enrollment ID: O20051205000786
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508198748
PECOS PAC ID: 8426020173
Enrollment ID: O20110322000202
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1568097939
PECOS PAC ID: 8426020173
Enrollment ID: O20200616000936
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1245865815
PECOS PAC ID: 8426020173
Enrollment ID: O20200617000674

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. Brenton Jay Seung Hoon 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 AddressPractice Location Address
Brenton Jay Seung Hoon Song, DO
1 Lecom Pl,
Erie, PA 16505-2571

Ph: (814) 868-2529		Brenton Jay Seung Hoon Song, DO
4740 Peach St,
Erie, PA 16509-2008

Ph: (814) 454-3174

Reviews and Comments


Psychiatry & Neurology Doctors in Erie, PA

Ryan J Lynch, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5535 Peach St, Erie, PA 16509
Phone: 814-868-3488    Fax: 814-868-3499
Kripa Shankar Singh, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1330 W 26th St, Erie, PA 16508
Phone: 814-459-9300    Fax: 814-454-7780
Sherifia Elaine Heron, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3216 State St, Erie, PA 16508
Phone: 724-437-0729    
Joseph Aaron Holmes, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 5515 Peach St, Erie, PA 16509
Phone: 181-486-8820    
Dr. Leonard J. Leone, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502
Phone: 814-452-7575    Fax: 814-452-7574
Erica Grazioli, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 120 E 2nd St Third Floor, Erie, PA 16507
Phone: 814-877-8000    Fax: 814-452-2210
G Renee Thomas-clark, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4740 Peach St, Erie, PA 16509
Phone: 814-454-3174    Fax: 814-616-8002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.