Dr Willis Clement Chung, MD in Eden Prairie, MN - Medicare Diagnostic Radiology

Dr Willis Clement Chung, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Eden Prairie, Minnesota. He graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Columbus Radiology Corp, Columbus Radiology Corp, Columbus Radiology Corp, Columbus Radiology Corp and his current practice location is 7595 Anagram Dr, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 573-2200.

Dr Willis Clement Chung is licensed to practice in Minnesota (license number 64006) 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 1659357804.

Contact Information

	Dr Willis Clement Chung, MD
	7595 Anagram Dr, Eden Prairie, MN 55344-7399
	(612) 573-2200
	(612) 573-2274

Map and Direction

Physician's Profile

Full Name	Dr Willis Clement Chung
Gender	Male
Speciality	Diagnostic Radiology
Experience	38 Years
Location	7595 Anagram Dr, Eden Prairie, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Willis Clement Chung graduated from medical school in 1988

NPI Data:

NPI Number: 1659357804
Provider Enumeration Date: 12/20/2005
Last Update Date: 01/08/2025

Medicare PECOS Information:

PECOS PAC ID: 0244222727
Enrollment ID: I20230825000858

Medical Identifiers

Medical identifiers for Dr Willis Clement Chung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659357804	NPI	-	NPPES
01334200	Medicaid	CO
P00002241	Other	CO	RR MCRE MIC
P00031103	Other	CO	RR MCRE RIA
1659357804	Other	WY	WY MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	P3700 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	33420 (Colorado)	Secondary
2085N0700X	Radiology - Neuroradiology	64006 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Youngstown Hospital	Youngstown, OH	Hospital
Hmhp St Elizabeth Boardman Health Center	Boardman, OH	Hospital
Mh St Joseph Warren Hospital	Warren, OH	Hospital
Mercy Regional Medical Center	Lorain, OH	Hospital
Southeastern Ohio Regional Medical Center	Cambridge, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbus Radiology Corp	6507754983	288
Columbus Radiology Corp	6507754983	288
Columbus Radiology Corp	6507754983	288
Columbus Radiology Corp	6507754983	288

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 Willis Clement Chung allows following entities to bill medicare on his behalf.

Entity Name	Aultman Now Urgent Care, Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1225662927 PECOS PAC ID: 7719318633 Enrollment ID: O20200509000328

Entity Name	Mercy Health Physicians Youngstown Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835

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 Willis Clement 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
Dr Willis Clement Chung, MD 7595 Anagram Dr, Eden Prairie, MN 55344-7399 Ph: (612) 573-2200	Dr Willis Clement Chung, MD 7595 Anagram Dr, Eden Prairie, MN 55344-7399 Ph: (612) 573-2200

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Dr. Jiewen Li, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Jacob Gebrael, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Dr. Trudy J Moore, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Dr. Priti Bachubhai Ram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Nathan J Groebner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Dr. Christopher James Macdonald, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Dr Willis Clement Chung, MD - Medicare Diagnostic Radiology in Eden Prairie, MN