BRENTON JAY SEUNG HOON SONG DO
NPI 1184117004
Psychiatry & Neurology - Child & Adolescent Psychiatry in Erie, PA

NPI Status: Active since June 14, 2018

Contact Information

4740 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 454-3174
Fax: (814) 616-8002

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  • Individual
  • Male
  • Years of Experience 8
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRENTON SONG

This page provides the complete NPI Profile along with additional information for Brenton Song, a provider established in Erie, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 8 years of experience. He graduated from Lake Erie Col Of Osteo Med At Seton Hill Univ in 2018. The healthcare provider is registered in the NPI registry with number 1184117004 assigned on June 2018. The practitioner's primary taxonomy code is 2084P0804X with license number OS021405 (PA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1184117004
Provider Name
BRENTON JAY SEUNG HOON SONG DO
Gender
Male
Entity Type
Individual
Location Address
4740 PEACH ST ERIE, PA 16509
Location Phone
(814) 454-3174
Location Fax
(814) 616-8002
Mailing Address
1 LECOM PL ERIE, PA 16505
Mailing Phone
(814) 868-2529
Mailing Fax
(814) 616-8002
Medical School Name
LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
06-14-2018
Last Update Date
05-31-2023
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Location Map

Secondary Locations

  • 537 W 18th St
    Erie, PA 16502
    (814) 454-3174

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
OS021405
License State
PA
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Medicare Participation & PECOS Enrollment Status

Brenton Song is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Brenton Song is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012374630

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230613000740

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brenton Song is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LECOM HEALTH CORRY MEMORIAL HOSPITAL965 SHAMROCK LANE
CORRY, PA 16407
(814) 664-4641Critical Access Hospitals

Reviews for BRENTON JAY SEUNG HOON SONG DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184117004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164211400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 2 + 1 + 1 + 4 + 0 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1184117004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

MEDICAL ASSOCIATES OF ERIE

Psychiatry & Neurology

(Psychiatry)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 520-5652

IVY ELIZABETH DEEGAN CRNP

Nurse Practitioner

(Psychiatric/Mental Health)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

MILLCREEK COMMUNITY HOSPITAL

Psychiatry & Neurology

(Psychiatry)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

DAVID E FIGUEROA DO

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

MELANIE FRANCES MOSHER CRNP

Nurse Practitioner

(Psychiatric/Mental Health)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

G RENEE THOMAS-CLARK DO

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

BELINDA ANN STILLMAN DO

Psychiatry & Neurology

(Psychiatry)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

YUELING LI MD

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

ROBERT J BEARFIELD

Counselor

(Mental Health)

4740 PEACH ST
ERIE, PA
ZIP 16509

(814) 454-3174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184117004, enumerated as an "individual" on June 14, 2018.

The provider is located at 4740 PEACH ST ERIE, PA 16509 and the phone number is (814) 454-3174.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

Brenton Song is affiliated with: LECOM HEALTH CORRY MEMORIAL HOSPITAL.