Jaehyuck Patrick Im, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Valhalla, New York. His current practice location is
100 Woods Rd, Valhalla, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 493-7000.
Jaehyuck Patrick Im is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124588306.
Physician's Profile
Full Name | Jaehyuck Patrick Im |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 100 Woods Rd, Valhalla, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124588306
- Provider Enumeration Date: 03/22/2019
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173852787
- Enrollment ID: I20220819000209
Medical Identifiers
Medical identifiers for Jaehyuck Patrick Im such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124588306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 25MA11485800 (New Jersey) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jaehyuck Patrick Im allows following entities to bill medicare on his behalf.
Entity Name | Hospitalist Physicians Of New Jersey Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588021851 PECOS PAC ID: 3476859927 Enrollment ID: O20160309000541 |
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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. Jaehyuck Patrick Im 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 |
Jaehyuck Patrick Im, MD 100 Woods Rd, Valhalla, NY 10595-1530 Ph: (914) 493-7000 | Jaehyuck Patrick Im, MD 100 Woods Rd, Valhalla, NY 10595-1530 Ph: (914) 493-7000 |
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