Dr Jeremy J Song, MD | |
1150 N 35th Ave Ste 440, Hollywood, FL 33021-5430 | |
(954) 265-6356 | |
(954) 265-3715 |
Full Name | Dr Jeremy J Song |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 10 Years |
Location | 1150 N 35th Ave Ste 440, Hollywood, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467879379 | NPI | - | NPPES |
106741100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME143653 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Regional Medical Center | Fresno, CA | Hospital |
Mercy Hospital Springfield | Springfield, MO | Hospital |
Clovis Community Medical Center | Clovis, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shamsuddin Khwaja M D Inc | 5799810784 | 8 |
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Shamsuddin Khwaja M D Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699006650 PECOS PAC ID: 5799810784 Enrollment ID: O20100316000543 |
Entity Name | Community Foundation Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy J Song, MD 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685 | Dr Jeremy J Song, MD 1150 N 35th Ave Ste 440, Hollywood, FL 33021-5430 Ph: (954) 265-6356 |
Michael Cortelli, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 440, Hollywood, FL 33021 Phone: 954-986-6356 Fax: 954-985-5154 | |
Syed Shahzad Razi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 660, Hollywood, FL 33021 Phone: 954-265-1125 Fax: 954-265-1133 | |
John Nicholas Melvan, M.D., PH.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 440, Hollywood, FL 33021 Phone: 954-265-6356 Fax: 954-985-5154 | |
Edward L Bove, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 490, Hollywood, FL 33021 Phone: 954-265-3437 Fax: 954-265-3731 | |
Dr. Fred Imre Ehrenstein, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1110 S Southlake Dr, Hollywood, FL 33019 Phone: 954-609-5572 | |
I-wen Wang, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 440, Hollywood, FL 33021 Phone: 954-265-6356 Fax: 954-985-5154 |