Dr Jesse Chang, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Scott Air Force Base, Illinois. His current practice location is
310 W Losey St, Scott Air Force Base, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 256-9355.
Dr Jesse Chang is licensed to practice in Ohio (license number 34.016354) 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 1881288959.
Physician's Profile
Full Name | Dr Jesse Chang |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 310 W Losey St, Scott Air Force Base, Illinois |
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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: 1881288959
- Provider Enumeration Date: 03/01/2021
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911306691
- Enrollment ID: I20210528002383
Medical Identifiers
Medical identifiers for Dr Jesse Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881288959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 34.016354 (Ohio) | Primary |
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 Jesse Chang 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 Jesse Chang, DO 310 W Losey St, Scott Air Force Base, IL 62225-5250 Ph: (618) 256-9355 | Dr Jesse Chang, DO 310 W Losey St, Scott Air Force Base, IL 62225-5250 Ph: (618) 256-9355 |
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