Eunjae Sung, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Gardena, California. She went to Washington University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Luke Medical Arts Inc and her current practice location is
1740 W Gardena Blvd, Gardena, California. You can reach out to her office (for appointments etc.) via phone at
(164) 804-3637.
Eunjae Sung is licensed to practice in California (license number 95010489) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235594185.
Physician's Profile
| Full Name | Eunjae Sung |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 1740 W Gardena Blvd, Gardena, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Eunjae Sung attended and graduated from Washington University School Of Medicine in 2015
NPI Data:
- NPI Number: 1235594185
- Provider Enumeration Date: 12/18/2015
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991084162
- Enrollment ID: I20191004000313
Medical Identifiers
Medical identifiers for Eunjae Sung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235594185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 0024174203 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | R218810 (Maryland) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 95010489 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St. Luke Medical Arts Inc | 1658604574 | 2 |
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. Eunjae Sung allows following entities to bill medicare on her behalf.
| Entity Name | St. Luke Medical Arts Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982161113
PECOS PAC ID: 1658604574
Enrollment ID: O20190610000291 |
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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. Eunjae Sung 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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Eunjae Sung, CRNP
1740 W Gardena Blvd,
Gardena, CA 90247-4764
Ph: (716) 480-4363 | Eunjae Sung, CRNP
1740 W Gardena Blvd,
Gardena, CA 90247-4764
Ph: (164) 804-3637 |
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