Jae Woo Shin, is a
Urology physician based in Jbsa Ft Sam Houston, Texas. Jae Woo Shin is licensed to practice in Nebraska (license number 35069) and his current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 916-6604.
NPI number for Jae Woo Shin is 1669059838 and his current mailing address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669059838.
Physician's Profile
| Full Name | Jae Woo Shin |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669059838
- Provider Enumeration Date: 03/25/2021
- Last Update Date: 02/05/2023
Medical Identifiers
Medical identifiers for Jae Woo Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669059838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 35069 (Nebraska) | 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. Jae Woo Shin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jae Woo Shin,
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: (210) 916-6604 | Jae Woo Shin,
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: (210) 916-6604 |
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