Eung Jin Brendon Bae, OD in Forest Hills, NY - Medicare Optometrist Provider

Eung Jin Brendon Bae, OD is a medicare enrolled "Optometrist" provider in Forest Hills, New York. His current practice location is 9620 Metropolitan Ave, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (718) 793-2020.

Eung Jin Brendon Bae is licensed to practice in New York (license number RT009885) 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 1114701919.

Contact Information

	Eung Jin Brendon Bae, OD
	9620 Metropolitan Ave, Forest Hills, NY 11375-6625
	(718) 793-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eung Jin Brendon Bae
Gender	Male
Speciality	Optometrist
Location	9620 Metropolitan Ave, Forest Hills, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114701919
Provider Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3173978269
Enrollment ID: I20231010001083

Medical Identifiers

Medical identifiers for Eung Jin Brendon Bae such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114701919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	RT009885 (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. Eung Jin Brendon Bae allows following entities to bill medicare on his behalf.

Provider Name	Sajid Malik, Md Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215161047 PECOS PAC ID: 6103955265 Enrollment ID: O20100527000519

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. Eung Jin Brendon Bae 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
Eung Jin Brendon Bae, OD 9620 Metropolitan Ave, Forest Hills, NY 11375-6625 Ph: (718) 793-2020	Eung Jin Brendon Bae, OD 9620 Metropolitan Ave, Forest Hills, NY 11375-6625 Ph: (718) 793-2020

Reviews and Comments

Optometrist in Forest Hills, NY

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Eung Jin Brendon Bae, OD - Medicare Optometrist in Forest Hills, NY