Seong-wook Seo, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Bolivar, Missouri. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Citizens Memorial Hospital District, Citizens Memorial Healthcare and his current practice location is
1155 W Parkview St Ste 1c, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 326-7246.
Seong-wook Seo is licensed to practice in Missouri (license number 2020001901) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104213180.
Physician's Profile
| Full Name | Seong-wook Seo |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 4 Years |
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| Location | 1155 W Parkview St Ste 1c, Bolivar, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Seong-wook Seo graduated from medical school in 2020
NPI Data:
- NPI Number: 1104213180
- Provider Enumeration Date: 04/17/2015
- Last Update Date: 04/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799091245
- Enrollment ID: I20200930001895
Medical Identifiers
Medical identifiers for Seong-wook Seo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104213180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 2020001901 (Missouri) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 2020001901 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Citizens Memorial Hospital District | 2769574433 | 27 |
| Citizens Memorial Healthcare | 4183528169 | 101 |
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. Seong-wook Seo allows following entities to bill medicare on his behalf.
| Entity Name | Citizens Memorial Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374 |
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| Entity Name | Citizens Memorial Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558548818
PECOS PAC ID: 2769574433
Enrollment ID: O20070827000044 |
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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. Seong-wook Seo 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 |
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Seong-wook Seo, MD
1500 N Oakland Ave,
Bolivar, MO 65613-3011
Ph: (417) 326-6000 | Seong-wook Seo, MD
1155 W Parkview St Ste 1c,
Bolivar, MO 65613-7800
Ph: (417) 326-7246 |
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