Dr Jason Jeong Hwan Song, MD, PHD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Saint Cloud, Florida. He went to Temple University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
2801 17th St Unit 202, Saint Cloud, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 906-1328.
Dr Jason Jeong Hwan Song is licensed to practice in Florida (license number 123792) 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 1205074002.
Physician's Profile
| Full Name | Dr Jason Jeong Hwan Song |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 16 Years |
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| Location | 2801 17th St Unit 202, Saint Cloud, Florida |
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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 Jason Jeong Hwan Song attended and graduated from Temple University School Of Medicine in 2008
NPI Data:
- NPI Number: 1205074002
- Provider Enumeration Date: 02/02/2009
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931410776
- Enrollment ID: I20150619000579
Medical Identifiers
Medical identifiers for Dr Jason Jeong Hwan Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205074002 | NPI | - | NPPES |
| 015031800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | ME123792 (Florida) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME123792 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 236756 (Massachusetts) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 123792 (Florida) | Primary |
Medical Facilities Affiliation
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 Jason Jeong Hwan Song allows following entities to bill medicare on his behalf.
| Entity Name | Palm Tree Interventional Pain Management Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336682764
PECOS PAC ID: 2062771173
Enrollment ID: O20180118001391 |
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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 Jason Jeong Hwan 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 |
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Dr Jason Jeong Hwan Song, MD, PHD
2801 17th St Unit 202,
Saint Cloud, FL 34769-4939
Ph: (407) 906-1328 | Dr Jason Jeong Hwan Song, MD, PHD
2801 17th St Unit 202,
Saint Cloud, FL 34769-4939
Ph: (407) 906-1328 |
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