Dr Su Hyun Jeong, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Reno, Nevada. His current practice location is
745 W Moana Ln Ste 300, Reno, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 327-5174.
Dr Su Hyun Jeong is licensed to practice in * (Not Available) (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 1346980034.
Physician's Profile
| Full Name | Dr Su Hyun Jeong |
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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 | 745 W Moana Ln Ste 300, Reno, Nevada |
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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: 1346980034
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 09/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961870522
- Enrollment ID: I20221201003207
Medical Identifiers
Medical identifiers for Dr Su Hyun Jeong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346980034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | V7912 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | V7912 (Texas) | Secondary |
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 Su Hyun Jeong 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 |
|---|
Dr Su Hyun Jeong, MD
11511 Shadow Creek Pkwy,
Pearland, TX 77584-7298
Ph: (713) 442-0000 | Dr Su Hyun Jeong, MD
745 W Moana Ln Ste 300,
Reno, NV 89509-4980
Ph: (775) 327-5174 |
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