Paul Song Eo, DPT in Gresham, OR - Medicare Physical Therapist Provider

Paul Song Eo, DPT is a medicare enrolled "Physical Therapist" provider in Gresham, Oregon. His current practice location is 24076 Se Stark St Ste 200, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 491-1666.

Paul Song Eo is licensed to practice in Oregon (license number 63730) 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 1033728670.

Contact Information

	Paul Song Eo, DPT
	24076 Se Stark St Ste 200, Gresham, OR 97030-3376
	(503) 491-1666
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Song Eo
Gender	Male
Speciality	Physical Therapist
Location	24076 Se Stark St Ste 200, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033728670
Provider Enumeration Date: 07/29/2020
Last Update Date: 07/29/2020

Medicare PECOS Information:

PECOS PAC ID: 0042637134
Enrollment ID: I20200903002365

Medical Identifiers

Medical identifiers for Paul Song Eo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033728670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	63730 (Oregon)	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. Paul Song Eo allows following entities to bill medicare on his behalf.

Provider Name	Oregon Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891397121 PECOS PAC ID: 5597178087 Enrollment ID: O20201229003062

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. Paul Song Eo 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
Paul Song Eo, DPT 2737 Nw Upshur St Apt 218, Portland, OR 97210-2273 Ph: (224) 616-1199	Paul Song Eo, DPT 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 Ph: (503) 491-1666

Reviews and Comments

Physical Therapist in Gresham, OR

Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666
Kaeli Frank, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7927 Se Orient Dr, Gresham, OR 97080 Phone: 503-663-0481
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157

Paul Song Eo, DPT - Medicare Physical Therapist in Gresham, OR