Sharon Keun Hae Chung, LICSW in Crystal, MN - Medicare Social Worker Provider

Sharon Keun Hae Chung, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Crystal, Minnesota. Her current practice location is 5700 Bottineau Blvd Ste 100, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 504-6590.

Sharon Keun Hae Chung is licensed to practice in Minnesota (license number 25765) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821611146.

Contact Information

	Sharon Keun Hae Chung, LICSW
	5700 Bottineau Blvd Ste 100, Crystal, MN 55429-3184
	(763) 504-6590
	(763) 531-2105

Map and Direction

Healthcare Provider's Profile

Full Name	Sharon Keun Hae Chung
Gender	Female
Speciality	Social Worker - Clinical
Location	5700 Bottineau Blvd Ste 100, Crystal, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821611146
Provider Enumeration Date: 05/20/2020
Last Update Date: 05/20/2020

Medicare PECOS Information:

PECOS PAC ID: 9335567510
Enrollment ID: I20200921001886

Medical Identifiers

Medical identifiers for Sharon Keun Hae Chung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821611146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	25765 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sharon Keun Hae Chung allows following entities to bill medicare on her behalf.

Entity Name	Familymeans
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881690899 PECOS PAC ID: 9830085182 Enrollment ID: O20040224001224

Entity Name	Swenson Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740429307 PECOS PAC ID: 9638200793 Enrollment ID: O20100706000654

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. Sharon Keun Hae 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
Sharon Keun Hae Chung, LICSW 2739 Randolph St Ne, Minneapolis, MN 55418-2621 Ph: (347) 406-3782	Sharon Keun Hae Chung, LICSW 5700 Bottineau Blvd Ste 100, Crystal, MN 55429-3184 Ph: (763) 504-6590

Reviews and Comments

Social Worker in Crystal, MN

Shavon Swain, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6721 Valley Pl, Crystal, MN 55427 Phone: 763-587-5104
Ayesha Alam Qureshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 Fax: 763-330-2775
Luca Oliver Lavallee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774
Delia Melissa Koolick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5701 Kentucky Ave N Ste 201, Crystal, MN 55428 Phone: 763-568-7223
Seth Elliot Tupper, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5108 Lakeside Ave N, Crystal, MN 55429 Phone: 651-503-5780 Fax: 763-271-2707
Mary Vorpahl, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Bottineau Blvd Ste 210, Crystal, MN 55429 Phone: 763-330-2774 Fax: 763-330-2775
Pamera Kezy, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Crystal, MN 55429 Phone: 844-697-8766

Sharon Keun Hae Chung, LICSW - Medicare Clinical Social Worker in Crystal, MN