Song Yol Yu, DO is a medicare enrolled "Family Medicine - Adult Medicine" physician in Decatur, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Edward W Sparrow Hospital Association and his current practice location is
319 W Delaware St, Decatur, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 423-7028.
Song Yol Yu is licensed to practice in Michigan (license number 5101013501) 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 1942373089.
Physician's Profile
| Full Name | Song Yol Yu |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 319 W Delaware St, Decatur, Michigan |
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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:
- Song Yol Yu attended and graduated from Michigan State University College Of Human Medicine in 1997
NPI Data:
- NPI Number: 1942373089
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 09/21/2009
Medicare PECOS Information:
- PECOS PAC ID: 1456352962
- Enrollment ID: I20070126000178
Medical Identifiers
Medical identifiers for Song Yol Yu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942373089 | NPI | - | NPPES |
| 114993740 | Medicaid | MI | |
| 700H060020 | Other | MI | BCBSM |
| 1942373089 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0505X | Family Medicine - Adult Medicine | 5101013501 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Edward W Sparrow Hospital Association | 6709799166 | 525 |
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. Song Yol Yu allows following entities to bill medicare on his behalf.
| Entity Name | Edward W Sparrow Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790 |
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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. Song Yol 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 |
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Song Yol Yu, DO
601 John St, Box 42,
Kalamazoo, MI 49007-5341
Ph: (269) 341-7806 | Song Yol Yu, DO
319 W Delaware St,
Decatur, MI 49045-1106
Ph: (269) 423-7028 |
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