Seungjae Kwon, in Simi Valley, CA - Medicare Physical Therapist Provider

Seungjae Kwon, is a medicare enrolled "Physical Therapist" provider in Simi Valley, California. His current practice location is 3921 Cochran St, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at (805) 327-1100.

Seungjae Kwon is licensed to practice in California (license number 303592) 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 1780380170.

Contact Information

	Seungjae Kwon,
	3921 Cochran St, Simi Valley, CA 93063-2364
	(805) 327-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Seungjae Kwon
Gender	Male
Speciality	Physical Therapist
Location	3921 Cochran St, Simi Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780380170
Provider Enumeration Date: 02/06/2023
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6305210238
Enrollment ID: I20230316000674

Medical Identifiers

Medical identifiers for Seungjae Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780380170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303592 (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. Seungjae Kwon allows following entities to bill medicare on his behalf.

Provider Name	Sand Coast Rehab Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128

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. Seungjae Kwon 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
Seungjae Kwon, 1239 Evergreen Ave Apt A3, Fullerton, CA 92835-2053 Ph: (714) 823-7375	Seungjae Kwon, 3921 Cochran St, Simi Valley, CA 93063-2364 Ph: (805) 327-1100

Reviews and Comments

Physical Therapist in Simi Valley, CA

Mark Mako, P.T., O.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2585 Cochran St, Suite A, Simi Valley, CA 93065 Phone: 805-584-0001 Fax: 805-527-9135
Antonio Oribel Torres, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2034 Sebring St, Simi Valley, CA 93065 Phone: 661-342-6748
Mr. Brian Carson, M.P.T., C.S.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd, Suite G, Simi Valley, CA 93065 Phone: 805-306-1622 Fax: 805-306-1611
Mrs. Kristin Gail Kerns, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 Fax: 805-584-2437
Molly Breckley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Erringer Rd, Simi Valley, CA 93065 Phone: 805-526-2311 Fax: 805-526-6608
Dr. Sean Edward Wronka, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd Unit I-1, Simi Valley, CA 93065 Phone: 805-306-1622
Melissa Deanne Dethloff, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2315 Kuehner Dr, #115, Simi Valley, CA 93063 Phone: 805-823-8200 Fax: 805-823-8208

Seungjae Kwon, - Medicare Physical Therapist in Simi Valley, CA