Yeon A Shim, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Roselle, New Jersey. She went to Temple University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. Her current practice location is
1305 Saint George Ave, Roselle, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 620-3200.
Yeon A Shim is licensed to practice in New Jersey (license number MD002426) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679504302.
Healthcare Provider's Profile
| Full Name | Yeon A Shim |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 28 Years |
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| Location | 1305 Saint George Ave, Roselle, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Yeon A Shim attended and graduated from Temple University School Of Medicine in 1996
NPI Data:
- NPI Number: 1679504302
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 01/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 1153456934
- Enrollment ID: I20100318000379
Medical Identifiers
Medical identifiers for Yeon A Shim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679504302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | MD002426 (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. Yeon A Shim allows following entities to bill medicare on her behalf.
| Provider Name | Roselle Podiatry Group, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003139031
PECOS PAC ID: 7416082292
Enrollment ID: O20100318000383 |
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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. Yeon A Shim 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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Yeon A Shim, DPM
776 E 3rd Ave, Ste 2,
Roselle, NJ 07203-1697
Ph: (908) 620-3200 | Yeon A Shim, DPM
1305 Saint George Ave,
Roselle, NJ 07203-2806
Ph: (908) 620-3200 |
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