Dr Taiil Ted Song, DO is a medicare enrolled "Allergy & Immunology" physician in Lakewood, Washington. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Allergy And Asthma Specialty Service Ps and 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 | Allergy/immunology |
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Experience | 27 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 graduated from medical school in 1997
NPI Data:
- NPI Number: 1669532842
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931270923
- Enrollment ID: I20080618000762
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Allergy And Asthma Specialty Service Ps | 4385532910 | 5 |
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 Taiil Ted Song allows following entities to bill medicare on his behalf.
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
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Entity Name | Allergy & Asthma Specialty Service Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457461410 PECOS PAC ID: 4385532910 Enrollment ID: O20040305001010 |
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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 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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