Dr Jin Pyun, MD - Medicare Emergency Medicine in Fort Drum, NY

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Dr Jin Pyun, MD is a medicare enrolled "Emergency Medicine" physician in Fort Drum, New York. He went to State University Of Ny Upstate Medical University and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Sound Emergency Medicine Pc, Providence Health And Services- Washington and his current practice location is 10506 2nd St, Fort Drum, New York. You can reach out to his office (for appointments etc.) via phone at (315) 772-8443.

Dr Jin Pyun is licensed to practice in New York (license number 232759) 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 1073599866.

Contact Information

Dr Jin Pyun, MD
10506 2nd St,
Fort Drum, NY 13602
(315) 772-8443
Not Available

Map and Direction




Physician's Profile

Full NameDr Jin Pyun
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location10506 2nd St, Fort Drum, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jin Pyun attended and graduated from State University Of Ny Upstate Medical University in 2017
  NPI Data:
  • NPI Number: 1073599866
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 10/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8426098955
  • Enrollment ID: I20080606000738

Medical Identifiers

Medical identifiers for Dr Jin Pyun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073599866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 232759 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Regional Medical Center EverettEverett, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Sound Emergency Medicine Pc549664675449
Providence Health And Services- Washington8325100480424

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 Jin Pyun allows following entities to bill medicare on his behalf.
Entity NameNorth Sound Emergency Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114937919
PECOS PAC ID: 5496646754
Enrollment ID: O20040324000729
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111

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 Jin Pyun 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
Dr Jin Pyun, MD
10 Nw Valleybrook Dr,
Lawton, OK 73505-9525

Ph: (917) 282-9646		Dr Jin Pyun, MD
10506 2nd St,
Fort Drum, NY 13602

Ph: (315) 772-8443

Reviews and Comments


Emergency Medicine Doctors in Fort Drum, NY

Dr. Isaac P Mills, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-2778    
Dr. Soham Parikh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-2778    
Spencer Kelley Heggers, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-5505    
Dr. Andrew Jerome Kosmowski, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11050 Mt Belvedere Blvd, Usa/meddac/credentials, Fort Drum, NY 13602
Phone: 315-772-4025    Fax: 315-772-9498
Bradley Alan Tait, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-2778    
Dr. Mcdaniel Holloway, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11050 Belevedere Blvd, Attn Jill Goodwin, Fort Drum, NY 13602
Phone: 469-524-1614    

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.