Hannah Song, | |
195 Discovery Dr, Brookfield, WI 53045-2862 | |
(262) 513-7100 | |
Not Available |
Full Name | Hannah Song |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 6 Years |
Location | 195 Discovery Dr, Brookfield, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710476932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD207164 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Asante Rogue Regional Medical Center | Medford, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology And Laser Assoc. Of Medford | 9436122793 | 9 |
Entity Name | Dermatology And Laser Assoc. Of Medford |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336294321 PECOS PAC ID: 9436122793 Enrollment ID: O20040816000222 |
Mailing Address | Practice Location Address |
---|---|
Hannah Song, 195 Discovery Dr, Brookfield, WI 53045-2862 Ph: (262) 513-7100 | Hannah Song, 195 Discovery Dr, Brookfield, WI 53045-2862 Ph: (262) 513-7100 |
Dr. James L. Troy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12805 W Burleigh Rd, Suite 200, Brookfield, WI 53005 Phone: 262-797-6434 Fax: 262-797-6429 | |
Gabriela A Maloney, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17100 W North Ave Ste 200, Brookfield, WI 53005 Phone: 262-784-7820 Fax: 262-784-7936 | |
James Patrick Russell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Dr. Manish J Gharia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave Ste 100, Brookfield, WI 53005 Phone: 262-754-4940 Fax: 262-754-4940 | |
Sun Young Ruggeri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Glenn Eugene Sondag, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 | |
Kristina Ann Kleven, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13800 W North Ave, Ste 100, Brookfield, WI 53005 Phone: 262-754-4488 Fax: 262-754-4940 |