Su Jin Seo, in Flushing, NY - Medicare Nurse Practitioner

Su Jin Seo, is a medicare enrolled "Nurse Practitioner - Adult Health" in Flushing, New York. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 13909 28th Rd, Apt 6c, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 216-5455.

Su Jin Seo is licensed to practice in New York (license number F307204) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962894931.

Contact Information

	Su Jin Seo,
	13909 28th Rd, Apt 6c, Flushing, NY 11354-1848
	(718) 216-5455
	Not Available

Map and Direction

Provider's Profile

Full Name	Su Jin Seo
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	13909 28th Rd, Flushing, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Su Jin Seo graduated from nursing school in 2015

NPI Data:

NPI Number: 1962894931
Provider Enumeration Date: 02/26/2015
Last Update Date: 02/26/2015

Medicare PECOS Information:

PECOS PAC ID: 3678891405
Enrollment ID: I20150407002049

Medical Identifiers

Medical identifiers for Su Jin Seo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962894931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F307204 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Shore University Hospital	Manhasset, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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. Su Jin Seo allows following entities to bill medicare on her behalf.

Entity Name	Nova Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982984019 PECOS PAC ID: 5890968986 Enrollment ID: O20111107000243

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Su Jin 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
Su Jin Seo, 13909 28th Rd, Apt 6c, Flushing, NY 11354-1848 Ph: (718) 216-5455	Su Jin Seo, 13909 28th Rd, Apt 6c, Flushing, NY 11354-1848 Ph: (718) 216-5455

Reviews and Comments

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Su Jin Seo, - Medicare Nurse Practitioner in Flushing, NY