Je Song, MD is a
General Practice physician based in Saucier, Mississippi. Je Song is licensed to practice in Mississippi (license number 17284) and his current practice location is 19424 Saucier Lizana Rd, Saucier, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(228) 206-2681.
NPI number for Je Song is 1568509099 and his current mailing address is P.o. Box 1036, Picayune, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568509099.
Physician's Profile
| Full Name | Je Song |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 19424 Saucier Lizana Rd, Saucier, Mississippi |
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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: 1568509099
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 01/19/2011
Medical Identifiers
Medical identifiers for Je Song such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568509099 | NPI | - | NPPES |
| 04906363 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 17284 (Mississippi) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 17284 (Mississippi) | Secondary |
| 208600000X | Surgery | 17284 (Mississippi) | Secondary |
| 208D00000X | General Practice | 17284 (Mississippi) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 17284 (Mississippi) | Secondary |
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. Je Song 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 |
|---|
Je Song, MD
P.o. Box 1036,
Picayune, MS 39466-1036
Ph: (228) 206-2681 | Je Song, MD
19424 Saucier Lizana Rd,
Saucier, MS 39574-9667
Ph: (228) 206-2681 |
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