Dr Sungjin Al Song, MD - Medicare Otolaryngology in Tripler Amc, HI

Dr Sungjin Al Song, MD is a medicare enrolled "Otolaryngology" physician in Tripler Amc, Hawaii. His current practice location is 1 Jarrett White Rd, Tripler Amc, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 433-5334.

Dr Sungjin Al Song is licensed to practice in Hawaii (license number MD-17856) 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 1053759746.

Contact Information

Dr Sungjin Al Song, MD
1 Jarrett White Rd,
Tripler Amc, HI 96859-5001
(808) 433-5334
Not Available



Physician's Profile

Full NameDr Sungjin Al Song
GenderMale
SpecialityOtolaryngology
Location1 Jarrett White Rd, Tripler Amc, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053759746
  • Provider Enumeration Date: 06/05/2013
  • Last Update Date: 09/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082963624
  • Enrollment ID: I20210805003281

Medical Identifiers

Medical identifiers for Dr Sungjin Al Song such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053759746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD-17856 (Hawaii)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. Dr Sungjin Al Song allows following entities to bill medicare on his behalf.
Entity NameHawaii Permanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625

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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. Dr Sungjin Al Song 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 AddressPractice Location Address
Dr Sungjin Al Song, MD
1 Jarrett White Rd,
Tripler Amc, HI 96859-5001

Ph: () -
Dr Sungjin Al Song, MD
1 Jarrett White Rd,
Tripler Amc, HI 96859-5001

Ph: (808) 433-5334

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Otolaryngology Doctors in Tripler Amc, HI

Dr. Eric Burl Purdom, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859
Phone: 808-433-2460    Fax: 808-433-1558
Dr. Bovey Zheng Zhu, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859
Phone: 808-433-3181    
Dr. Brian Shinrong Chen, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859
Phone: 808-433-1086    Fax: 808-433-9033
Scott Eric Bevans, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859
Phone: 808-433-5334    
Dr. Kelly Anderson,
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859
Phone: 808-351-4000    

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