Dr Sang H Song Sr, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Hauppauge, New York. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1996 and has 28 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
740 Veterans Hwy, Suite 203, Hauppauge, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 366-4474.
Dr Sang H Song Sr is licensed to practice in New York (license number 208578) 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 1093702425.
Physician's Profile
| Full Name | Dr Sang H Song Sr |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 28 Years |
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| Location | 740 Veterans Hwy, Hauppauge, New York |
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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 Sang H Song Sr attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1996
NPI Data:
- NPI Number: 1093702425
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 11/16/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557253366
- Enrollment ID: I20040326000733
Medical Identifiers
Medical identifiers for Dr Sang H Song Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093702425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 208578 (New York) | Primary |
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 Sang H Song Sr allows following entities to bill medicare on his behalf.
| Entity Name | Ivy Medicine, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932328168
PECOS PAC ID: 4789654583
Enrollment ID: O20090807000095 |
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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 Sang H Song Sr 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 Sang H Song Sr, MD
Po Box 2711,
Huntington Station, NY 11746-0559
Ph: (631) 673-1177 | Dr Sang H Song Sr, MD
740 Veterans Hwy, Suite 203,
Hauppauge, NY 11788-2329
Ph: (631) 366-4474 |
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