Myung Kyu Chung is a medicare enrolled "Family Medicine" provider in Moorestown, New Jersey. Their current practice location is
110 Marter Ave, Suite 507, Moorestown, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(856) 222-4766.
Myung Kyu Chung is licensed to practice in New Jersey (license number 25MA05425800) and it also participates in the medicare program. Myung Kyu Chung
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1386717585.
Healthcare Provider's Profile
| Full Name | Myung Kyu Chung |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 110 Marter Ave, Moorestown, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386717585
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 01/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 0941219653
- Enrollment ID: O20060407000220
Medical Identifiers
Medical identifiers for Myung Kyu Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386717585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 25MA05425800 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 25MA05425800 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Myung Kyu Chung acts as a billing entity for following providers:
| Provider Name | Andrew Oswari |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1619067071
PECOS PAC ID: 7315908076
Enrollment ID: I20041026000145 |
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| Provider Name | Myung K Chung |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1609971803
PECOS PAC ID: 6709821853
Enrollment ID: I20050621000093 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myung Kyu Chung is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Myung Kyu Chung
110 Marter Ave, Suite 507,
Moorestown, NJ 08057-3124
Ph: (856) 222-4766 | Myung Kyu Chung
110 Marter Ave, Suite 507,
Moorestown, NJ 08057-3124
Ph: (856) 222-4766 |
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