Steven Tae Yi, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Lagrange, Georgia. His current practice location is
1514 Vernon Rd, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 882-1411.
Steven Tae Yi is licensed to practice in Georgia (license number 96403) 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 1013446798.
Physician's Profile
Full Name | Steven Tae Yi |
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Gender | Male |
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Speciality | Radiology - Vascular & Interventional Radiology |
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Location | 1514 Vernon Rd, Lagrange, Georgia |
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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: 1013446798
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456626365
- Enrollment ID: I20230206003125
Medical Identifiers
Medical identifiers for Steven Tae Yi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013446798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | OS022164 (Pennsylvania) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 96403 (Georgia) | Primary |
207R00000X | Internal Medicine | 009082 (Georgia) | Secondary |
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. Steven Tae Yi allows following entities to bill medicare on his behalf.
Entity Name | Allegheny Clinic Radiology |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992183164 PECOS PAC ID: 8426364738 Enrollment ID: O20150901003142 |
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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. Steven Tae Yi 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 |
Steven Tae Yi, DO 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 | Steven Tae Yi, DO 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 882-1411 |
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