Dr Kyo Chul Song, MD | |
100 Medical Blvd, Canonsburg, PA 15317-9762 | |
(724) 745-3916 | |
(724) 746-6328 |
Full Name | Dr Kyo Chul Song |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 41 Years |
Location | 100 Medical Blvd, Canonsburg, Pennsylvania |
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 |
---|---|---|---|
1184656753 | NPI | - | NPPES |
01465191 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD049917L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Acmh Hospital | Kittanning, PA | Hospital |
Trumbull Regional Medical Center | Warren, OH | Hospital |
Sharon Regional Health System | Sharon, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Diagnostic Pathology Associates, Ltd | 5890890685 | 3 |
Advanced Diagnostic Pathology Associates, Ltd | 5890890685 | 3 |
Entity Name | Allegheny Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Entity Name | Advanced Diagnostic Pathology Associates, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629141874 PECOS PAC ID: 5890890685 Enrollment ID: O20070424000447 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyo Chul Song, MD 320 E North Ave, Pittsburgh, PA 15212-4756 Ph: (412) 359-6886 | Dr Kyo Chul Song, MD 100 Medical Blvd, Canonsburg, PA 15317-9762 Ph: (724) 745-3916 |
Manju E Nath, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 724-745-3916 Fax: 724-746-6328 | |
Mrs. Tasneem A Syed, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 724-745-3916 Fax: 724-746-6328 | |
Dr. Quratulain Ahmed, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Blvd, Canonsburg, PA 15317 Phone: 724-745-3916 |