Seung Yong Ji, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boise, Idaho. His current practice location is
900 N Liberty St Ste 400, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 336-4368.
Seung Yong Ji 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 1033748660.
Physician's Profile
Full Name | Seung Yong Ji |
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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 | 900 N Liberty St Ste 400, Boise, Idaho |
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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: 1033748660
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294158531
- Enrollment ID: I20200706001638
Medical Identifiers
Medical identifiers for Seung Yong Ji such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033748660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | PG220922 (Oregon) | 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. Seung Yong Ji 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 |
Seung Yong Ji, MD 2001 N 17th St, Boise, ID 83702-0802 Ph: (215) 350-4624 | Seung Yong Ji, MD 900 N Liberty St Ste 400, Boise, ID 83704-8707 Ph: (208) 336-4368 |
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