925 BISHOP WALSH RD
CUMBERLAND, MD 21502-1845 US PECOS Enrolled
Wonsock Shin
Internal Medicine Physician
- CUMBERLAND, MD
- Phone: (301)-759-3800
- Last Updated 4/29/2008
Overview
Wonsock Shin is a Internal Medicine Physician in the CUMBERLAND area and has over 36 years of experience. Wonsock Shin primary office location is at 925 BISHOP WALSH RD and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1988 The NPI number is 1821098203 and the information was updated approximately 16 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| D0055325 | MD |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 226305000 | MD |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MD | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20140430001263 |
| PECOS Individual PAC ID: | 3577611938 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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