Dr Jae Hyun Shim, MD is a medicare enrolled "Family Medicine" physician in Fort Lee, New Jersey. His current practice location is
301 Bridge Plz N Ste 300, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(848) 308-4690.
Dr Jae Hyun Shim is licensed to practice in New Jersey (license number 25MA11718700) 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 1174142731.
Physician's Profile
| Full Name | Dr Jae Hyun Shim |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 301 Bridge Plz N Ste 300, Fort Lee, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174142731
- Provider Enumeration Date: 04/14/2020
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214354141
- Enrollment ID: I20231010003854
Medical Identifiers
Medical identifiers for Dr Jae Hyun Shim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174142731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MA11718700 (New Jersey) | 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. Dr Jae Hyun Shim allows following entities to bill medicare on his behalf.
| Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336203538
PECOS PAC ID: 7911003330
Enrollment ID: O20070502000000 |
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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 Jae Hyun Shim 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 Jae Hyun Shim, MD
301 Bridge Plz N Ste 300,
Fort Lee, NJ 07024-5059
Ph: (848) 308-4690 | Dr Jae Hyun Shim, MD
301 Bridge Plz N Ste 300,
Fort Lee, NJ 07024-5059
Ph: (848) 308-4690 |
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