Dr Kwangsup K Sheen, MD is a medicare enrolled "Emergency Medicine" physician in Peckville, Pennsylvania. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Care Services Of Pennsylvania Pc and his current practice location is
1400 Main St, Peckville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 383-5511.
Dr Kwangsup K Sheen is licensed to practice in Pennsylvania (license number MD056601L) 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 1063498228.
Physician's Profile
| Full Name | Dr Kwangsup K Sheen |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 38 Years |
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| Location | 1400 Main St, Peckville, Pennsylvania |
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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 Kwangsup K Sheen graduated from medical school in 1986
NPI Data:
- NPI Number: 1063498228
- Provider Enumeration Date: 12/20/2005
- Last Update Date: 08/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103845946
- Enrollment ID: I20051122000127
Medical Identifiers
Medical identifiers for Dr Kwangsup K Sheen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063498228 | NPI | - | NPPES |
| 001746129 | Medicaid | PA | |
| 861181 | Other | PA | HIGHMARK BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD056601L (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | MD056601L (Pennsylvania) | Secondary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Upmc Wellsboro | Wellsboro, PA | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergency Care Services Of Pennsylvania Pc | 1759301799 | 40 |
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 Kwangsup K Sheen allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955010
PECOS PAC ID: 1759301799
Enrollment ID: O20051206000046 |
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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 Kwangsup K Sheen 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 Kwangsup K Sheen, MD
1400 Main St,
Peckville, PA 18452-2009
Ph: (570) 383-5511 | Dr Kwangsup K Sheen, MD
1400 Main St,
Peckville, PA 18452-2009
Ph: (570) 383-5511 |
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