Min Ji Song, OTD in Stockton, CA - Medicare Occupational Therapist Provider

Min Ji Song, OTD is a medicare enrolled "Occupational Therapist" provider in Stockton, California. Her current practice location is 534 E Pine St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 463-5800.

Min Ji Song is licensed to practice in California (license number 24535) 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 1841077443.

Contact Information

	Min Ji Song, OTD
	534 E Pine St, Stockton, CA 95204-5534
	(209) 463-5800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Min Ji Song
Gender	Female
Speciality	Occupational Therapist
Location	534 E Pine St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841077443
Provider Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7517317035
Enrollment ID: I20231226001693

Medical Identifiers

Medical identifiers for Min Ji Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841077443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	24535 (California)	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. Min Ji Song allows following entities to bill medicare on her behalf.

Provider Name	Jbjc Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1417037946 PECOS PAC ID: 9830164649 Enrollment ID: O20040826000460

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. Min Ji Song 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
Min Ji Song, OTD 3815 Venice Pl, Carmichael, CA 95608-2774 Ph: (424) 400-4945	Min Ji Song, OTD 534 E Pine St, Stockton, CA 95204-5534 Ph: (209) 463-5800

Reviews and Comments

Occupational Therapist in Stockton, CA

John Maglasang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9107 Davis Rd, Stockton, CA 95209 Phone: 209-478-6488
Ronald I Mil, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5320 Carrington Cir, Stockton, CA 95210 Phone: 209-473-3004 Fax: 209-473-4059
Rainier Restie Javier, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 E Fulton St, Stockton, CA 95204 Phone: 209-466-2066
Derek Thomas Alday Robinson, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 E Pine St, Suite A, Stockton, CA 95204 Phone: 209-463-5800 Fax: 209-463-5900
Mr. Stephen James Lofy, OTR, HTC, PAM, SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9107 Davis Rd, Stockton, CA 95209 Phone: 209-478-6488 Fax: 209-478-3916
Cheryl Spaulding, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Macduff Ave, Stockton, CA 95210 Phone: 209-478-4848
Martha Sakakura, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1319 N Madison St, Stockton, CA 95202 Phone: 209-996-1037

Min Ji Song, OTD - Medicare Occupational Therapist in Stockton, CA