Individual ProviderJoon J BangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 Prospect Park W, Brooklyn, NY 11215-5747(718) 768-1264PECOS EnrollmentThis provider is enrolled in PECOS as JOON BANG.Based on the most recent information from CMS, provider Joon J Bang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1518998228Provider TypeIndividualFull NameBang, Joon JCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date7/5/2006Last Updated10/11/2007Contact InformationPractice LocationPractice Address200 Prospect Park W, Brooklyn, NY 11215-5747Phone(718) 768-1264Fax(718) 768-0254Mailing LocationMailing Address200 Prospect Park W, Brooklyn, NY 11215-5747Phone(718) 768-1264Fax(718) 768-0254Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense126410New YorkProvider IdentifiersIDDescriptionIssuerID00275741DescriptionMedicaidIssuerUnlistedNew York