Jay S Jeon, is a medicare enrolled "Hospitalist" physician in Prosper, Texas. His current practice location is
4100 W University Dr, Prosper, Texas. You can reach out to his office (for appointments etc.) via phone at
(945) 204-4100.
Jay S Jeon is licensed to practice in Texas (license number V6321) 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 1174268650.
Physician's Profile
| Full Name | Jay S Jeon |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 4100 W University Dr, Prosper, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174268650
- Provider Enumeration Date: 04/29/2022
- Last Update Date: 08/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365959228
- Enrollment ID: I20250727000066
Medical Identifiers
Medical identifiers for Jay S Jeon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174268650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | V6321 (Texas) | Primary |
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. Jay S Jeon allows following entities to bill medicare on his behalf.
| Entity Name | Cook Childrens Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
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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. Jay S Jeon 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 |
Jay S Jeon, Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Jay S Jeon, 4100 W University Dr, Prosper, TX 75078-3123 Ph: (945) 204-4100 |
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