Dr Jay Chung, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Stateline, Nevada. He went to University Of Texas Medical School At Houston and graduated in 1993 and has 31 years of diverse experience with area of expertise as Rheumatology. He is a member of the group practice Providence Medical Foundation and his current practice location is
155 Hwy 50, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 589-8900.
Dr Jay Chung is licensed to practice in Nevada (license number 12393) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760588305.
Physician's Profile
| Full Name | Dr Jay Chung |
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| Gender | Male |
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| Speciality | Rheumatology |
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| Experience | 31 Years |
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| Location | 155 Hwy 50, Stateline, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jay Chung attended and graduated from University Of Texas Medical School At Houston in 1993
NPI Data:
- NPI Number: 1760588305
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 07/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 8921093121
- Enrollment ID: I20040416001499
Medical Identifiers
Medical identifiers for Dr Jay Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760588305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RR0500X | Internal Medicine - Rheumatology | A67374 (California) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 12393 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Medical Foundation | 8921993205 | 1293 |
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 Jay Chung allows following entities to bill medicare on his behalf.
| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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| Entity Name | Tahoe Carson Valley Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508865528
PECOS PAC ID: 8426048158
Enrollment ID: O20040514000834 |
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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 Jay 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 |
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Dr Jay Chung, MD
1111 Emerald Bay Rd,
South Lake Tahoe, CA 96150-6207
Ph: (530) 543-5659 | Dr Jay Chung, MD
155 Hwy 50,
Stateline, NV 89449
Ph: (775) 589-8900 |
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