Dae Y Song (NPI# 1316902802, PAC ID# 4183682966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1316902802 |
| PAC ID by PECOS | 4183682966 |
| Professional Enrollment ID | I20041227000476 |
| Full Name | Dae Y Song |
| Address |
1100 Medical Ctr Pkwy Selma AL 36701-6794 |
| Gender | M |
| Credential | MD |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010118 | VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS |
| 010112 | BRYAN W. WHITFIELD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Medical Ctr Pkwy, Selma, AL 36701-6794 |
| Street Address |
1100 MEDICAL CTR PKWY |
| City | SELMA |
| State | AL |
| Zip | 36701-6794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brady Rives | Audiologist | Central Alabama Audiology, LLC | 1100 Medical Ctr Pkwy, Selma, AL 36701-6794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard R Harris | Orthopedic Surgery | 1023 Medical Ctr Pkwy, Suite 405, Selma, AL 36701 | |
| Michael Shane Hammett | Nurse Practitioner | Taylor Internal Medicine of Selma, P.C. | 4258 Us Hwy 80 W, Selma, AL 36701-2202 |
| Shenella Carlisle | Nurse Practitioner | Homestead Palliative Care, Inc | 3005 Citizens Pkwy, Selma, AL 36701-3918 |
| Ben E Weber | Chiropractic | 2117 Broad St, Selma, AL 36701-4142 | |
| William E Lightfoot | Chiropractic | 2117 Broad St, Selma, AL 36701-4142 | |
| Allen Randolph Henderson | Chiropractic | 611 Broad St, Selma, AL 36701-4505 | |
| Ernest I Okeke | Family Medicine | 901 A Jeff Davis Ave, Selma, AL 36701-4518 | |
| Walid Wajih Freij | Neurology | 217 Broad St, 2nd Floor Swift Bldg, Selma, AL 36701-4589 | |
| Julian P Howell Jr. | Family Practice | Smartcare Hub LLC | 101 Broad St, Selma, AL 36701-4606 |
| David Ward Hodo | Psychiatry | 800 Tremont St, Selma, AL 36701-5447 | |
| Find all physicians in zip 36701 | |||
| City | SELMA |
| Zip Code | 36701 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SELMA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Dae Y Song.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.