| Dr John Y Chung, MD | |
|
1107 Memorial Dr, Ste 201, Dalton, GA 30720 | |
| (706) 277-7311 | |
| (706) 272-3512 |
| Full Name | Dr John Y Chung |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 37 Years |
| Location | 1107 Memorial Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710943709 | NPI | - | NPPES |
| 00703436A | Medicaid | GA | |
| 041532 | Other | GA | GA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 041532 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 041532 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Medical Center | Dalton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skin Cancer And Cosmetic Dermatology Center Pc | 3375591209 | 22 |
| Skin Cancer And Cosmetic Dermatology Center Pc | 8224118773 | 26 |
| Entity Name | Skin Cancer & Cosmetic Dermatology Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376605394 PECOS PAC ID: 3375591209 Enrollment ID: O20050107000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Y Chung, MD 1107 Memorial Dr, Ste 201, Dalton, GA 30720-8662 Ph: (706) 277-7311 | Dr John Y Chung, MD 1107 Memorial Dr, Ste 201, Dalton, GA 30720 Ph: (706) 277-7311 |
Jane S. Clark, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Suite 201, Dalton, GA 30720 Phone: 706-277-7311 | |
Mrs. Jordan Nix Ralston, P.A.-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 | |
Dr. Mary Elizabeth Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 | |
Dr. Luis Alberto Gomez Vaca, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 |