Peter Heesung Yoon, OD is a medicare enrolled "Optometrist" provider in Leonia, New Jersey. His current practice location is
348 Broad Ave, Leonia, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 592-8989.
Peter Heesung Yoon is licensed to practice in New Jersey (license number 27OA00706500) 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 1578135356.
Healthcare Provider's Profile
| Full Name | Peter Heesung Yoon |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 348 Broad Ave, Leonia, New Jersey |
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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: 1578135356
- Provider Enumeration Date: 07/12/2021
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234525288
- Enrollment ID: I20220331001009
Medical Identifiers
Medical identifiers for Peter Heesung Yoon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578135356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TUV009362 (New York) | Secondary |
| 152W00000X | Optometrist | OPT34890-TLG (California) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OPT34890-TLG (California) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | TUV009362 (New York) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 27OA00706500 (New Jersey) | Secondary |
| 152W00000X | Optometrist | 27OA00706500 (New Jersey) | 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. Peter Heesung Yoon allows following entities to bill medicare on his behalf.
| Provider Name | Palisades Optometrics Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336605344
PECOS PAC ID: 4486055688
Enrollment ID: O20210625000261 |
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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. Peter Heesung Yoon 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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Peter Heesung Yoon, OD
435 Main St Apt 550,
Hackensack, NJ 07601-6046
Ph: (858) 386-8380 | Peter Heesung Yoon, OD
348 Broad Ave,
Leonia, NJ 07605-1703
Ph: (201) 592-8989 |
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