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SEJIN BAE
NPI 1528697109
Oral & Maxillofacial Surgery in Danville, PA

Active since April 06, 2020PECOS Enrolled
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822(570) 271-6211 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Apr 6, 2020 (2 updates tracked since 2020).

About Sejin Bae NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEJIN BAE (NPI 1528697109) is an individual oral & maxillofacial surgery provider in Danville, Pennsylvania, licensed in New Jersey (22DI03014100) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528697109
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSEJIN BAE
Location Address100 NORTH ACADEMY AVENUEDanville, PA 17822
Mailing Address9550 W Sahara Ave Unit 2063Las Vegas, NV 89117 · (714) 980-1783
Phone(570) 271-6211
Sole ProprietorNo
Enumeration DateApril 6, 2020
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1528697109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NJ · 22DI03014100
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
100 NORTH ACADEMY AVENUE, Danville, PA 17822
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sejin Bae is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA SEELEY M.D.
Pediatrics
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6440
DR. CATHERINE T SHOFF D.O.
Internal Medicine (Critical Care Medicine)
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6655
MS. JAMIE L SEILER PA-C
Physician Assistant
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6439
CHELSEA ANN OBOURN M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE, GEISINGER MEDICAL CENTER
DANVILLE, PA 17822
Montour County (570) 271-6211
MR. ASIM AHMAD KHAN M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6775
GINO MONGELLUZZO M.D.
Radiology (Neuroradiology)
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6301
DR. VANDAN SHAH M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6211
GEISINGER MEDICAL CENTER
General Acute Care Hospital
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 574-6224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sejin Bae's NPI number?

The NPI number for Sejin Bae is 1528697109. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Sejin Bae located?

Sejin Bae practices at 100 North Academy Avenue, Danville, PA 17822. The listed phone number is (570) 271-6211.

What is Sejin Bae's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Sejin Bae enrolled in Medicare?

Yes. Sejin Bae is registered in the Medicare PECOS enrollment system.

What insurance does Sejin Bae accept?

Health plans from Humana list Sejin Bae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sejin Bae was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.