Dr Seung Jin Jang, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Bethlehem, Pennsylvania. His current practice location is
511 E 3rd St Ste 260, Bethlehem, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 526-2460.
Dr Seung Jin Jang is licensed to practice in Pennsylvania (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538993423.
Healthcare Provider's Profile
| Full Name | Dr Seung Jin Jang |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 511 E 3rd St Ste 260, Bethlehem, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538993423
- Provider Enumeration Date: 09/02/2024
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476073065
- Enrollment ID: I20250226002063
Medical Identifiers
Medical identifiers for Dr Seung Jin Jang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538993423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 30.027665 (Ohio) | Secondary |
| 122300000X | Dentist | DN29165 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Pennsylvania) | 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. Dr Seung Jin Jang allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932169497
PECOS PAC ID: 8426014853
Enrollment ID: O20041207000632 |
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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. Dr Seung Jin Jang 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 |
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Dr Seung Jin Jang, DMD
1804 Lennox Flats Dr,
Columbus, OH 43212-1480
Ph: (352) 318-7754 | Dr Seung Jin Jang, DMD
511 E 3rd St Ste 260,
Bethlehem, PA 18015-2072
Ph: (484) 526-2460 |
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