Ms Joo Yeon Seo, NP is a medicare enrolled "Family Medicine" in New Hyde Park, New York. Her current practice location is
450 Lakeville Rd, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 734-8900.
Ms Joo Yeon Seo is licensed to practice in New York (license number 350154) 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 1730813999.
Provider's Profile
| Full Name | Ms Joo Yeon Seo |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 450 Lakeville Rd, New Hyde Park, 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. |
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NPI Data:
- NPI Number: 1730813999
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183098064
- Enrollment ID: I20230315002032
Medical Identifiers
Medical identifiers for Ms Joo Yeon Seo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730813999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 719398 (New York) | Secondary |
| 207Q00000X | Family Medicine | 350154 (New York) | Primary |
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. Ms Joo Yeon Seo allows following entities to bill medicare on her behalf.
| Entity Name | North Shore Health System Medical Faculty Group Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003409061
PECOS PAC ID: 8022417328
Enrollment ID: O20210518002265 |
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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. Ms Joo Yeon 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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Ms Joo Yeon Seo, NP
450 Lakeville Rd,
New Hyde Park, NY 11042-1118
Ph: (516) 734-8900 | Ms Joo Yeon Seo, NP
450 Lakeville Rd,
New Hyde Park, NY 11042-1118
Ph: (516) 734-8900 |
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