Dr Taiil Ted Song, DO is a medicare enrolled "Allergy & Immunology" physician in Lakewood, Washington. His current practice location is
11203 Bridgeport Way Sw, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 589-1380.
Dr Taiil Ted Song is licensed to practice in Washington (license number OP00002163) 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 1669532842.
Physician's Profile
Full Name | Dr Taiil Ted Song |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 11203 Bridgeport Way Sw, Lakewood, Washington |
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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. |
Medical Education and Training:
- Dr Taiil Ted Song attended and graduated from in
NPI Data:
- NPI Number: 1669532842
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Taiil Ted Song such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669532842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | OP00002163 (Washington) | Secondary |
207RA0201X | Internal Medicine - Allergy & Immunology | E-2006 (Arkansas) | Secondary |
207K00000X | Allergy & Immunology | OP00002163 (Washington) | Primary |
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 Taiil Ted Song 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 |
Dr Taiil Ted Song, DO 11203 Bridgeport Way Sw, Lakewood, WA 98499-3002 Ph: (253) 589-1380 | Dr Taiil Ted Song, DO 11203 Bridgeport Way Sw, Lakewood, WA 98499-3002 Ph: (253) 589-1380 |
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