Samuel Sangwon Yoo, PT in Staten Island, NY - Medicare Physical Therapist Provider

Samuel Sangwon Yoo, PT is a medicare enrolled "Physical Therapist" provider in Staten Island, New York. His current practice location is 3930 Richmond Ave Ste 200, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (646) 240-8453.

Samuel Sangwon Yoo is licensed to practice in New York (license number 025179) 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 1891939625.

Contact Information

	Samuel Sangwon Yoo, PT
	3930 Richmond Ave Ste 200, Staten Island, NY 10312-5103
	(646) 240-8453
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Sangwon Yoo
Gender	Male
Speciality	Physical Therapist
Location	3930 Richmond Ave Ste 200, Staten Island, 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: 1891939625
Provider Enumeration Date: 04/23/2009
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0345370300
Enrollment ID: I20100810000556

Medical Identifiers

Medical identifiers for Samuel Sangwon Yoo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891939625	NPI	-	NPPES
G400061606	Other	NY	MEDICARE MEMBER PTAN FOR QUEENS
A400026932	Other	NY	MEDICARE MEMBER PTAN FOR BROOKLYN, STATEN ISLAND, MANHATTAN
1891939625	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	025179 (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. Samuel Sangwon Yoo allows following entities to bill medicare on his behalf.

Provider Name	Samuel Yoo Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1124773940 PECOS PAC ID: 8921493990 Enrollment ID: O20220310000955

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. Samuel Sangwon Yoo 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
Samuel Sangwon Yoo, PT 3930 Richmond Ave Ste 200, Staten Island, NY 10312-5103 Ph: (646) 240-8453	Samuel Sangwon Yoo, PT 3930 Richmond Ave Ste 200, Staten Island, NY 10312-5103 Ph: (646) 240-8453

Reviews and Comments

Physical Therapist in Staten Island, NY

Mr. Mohamed Ali Sadeia, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Woodcrest Rd, Staten Island, NY 10303 Phone: 718-698-8487 Fax: 718-698-8487
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Dr. Anthony Yorio Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Retford Ave, Staten Island, NY 10312 Phone: 718-967-0132
Ms. Alexandra Castris, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 962 Manor Rd, Staten Island, NY 10314 Phone: 718-982-5944
Myocare Pt P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Atlantic Ave, Staten Island, NY 10304 Phone: 929-485-6000 Fax: 929-210-7000
Jeeno Joseph, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329
Joy Murphy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329

Samuel Sangwon Yoo, PT - Medicare Physical Therapist in Staten Island, NY