Jessi Jisu Yu, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bronx, New York. Her current practice location is
111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 920-4321.
Jessi Jisu Yu is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194383067.
Physician's Profile
Full Name | Jessi Jisu Yu |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 111 E 210th St, Bronx, 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: 1194383067
- Provider Enumeration Date: 06/05/2019
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143559799
- Enrollment ID: I20190909000565
Medical Identifiers
Medical identifiers for Jessi Jisu Yu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194383067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4351045563 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jessi Jisu Yu 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 |
Jessi Jisu Yu, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 | Jessi Jisu Yu, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 |
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