Dr Byol Shin, DO is a medicare enrolled "Allergy & Immunology" physician in Lawrenceville, Georgia. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2003 and has 21 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Gwinnett Clinic, Ltd and his current practice location is
1740 Lawrenceville Hwy, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 995-5695.
Dr Byol Shin is licensed to practice in Georgia (license number 061163) 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 1669680401.
Physician's Profile
| Full Name | Dr Byol Shin |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 21 Years |
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| Location | 1740 Lawrenceville Hwy, Lawrenceville, Georgia |
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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 Byol Shin attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2003
NPI Data:
- NPI Number: 1669680401
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 01/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769541150
- Enrollment ID: I20081029000787
Medical Identifiers
Medical identifiers for Dr Byol Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669680401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 061163 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gwinnett Clinic, Ltd | 9436061801 | 33 |
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. Dr Byol Shin allows following entities to bill medicare on his behalf.
| Entity Name | Gwinnett Clinic, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629117650
PECOS PAC ID: 9436061801
Enrollment ID: O20031104000266 |
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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. Dr Byol 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 |
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Dr Byol Shin, DO
10600 Medlock Bridge Rd,
Duluth, GA 30097-8404
Ph: () - | Dr Byol Shin, DO
1740 Lawrenceville Hwy,
Lawrenceville, GA 30044-4609
Ph: (770) 995-5695 |
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