Individual ProviderYong Woo JeonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614(419) 383-3805PECOS EnrollmentBased on the most recent information from CMS, provider Yong Woo Jeon is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1154983120Provider TypeIndividualFull NameJeon, Yong WooTitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date6/30/2019Last Updated6/30/2019Contact InformationPractice LocationPractice Address3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614Phone(419) 383-3805Fax(419) 383-2969Mailing LocationMailing Address3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614Phone(419) 383-3805Fax(419) 383-2969Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer