Michael Chung, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Lafayette, Indiana. His current practice location is
5165 Mccarty Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 448-8000.
Michael Chung is licensed to practice in Florida (license number APRN9397808) 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 1396278164.
Physician's Profile
| Full Name | Michael Chung |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 5165 Mccarty Ln, Lafayette, Indiana |
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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: 1396278164
- Provider Enumeration Date: 04/07/2017
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335413186
- Enrollment ID: I20170918003644
Medical Identifiers
Medical identifiers for Michael Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396278164 | NPI | - | NPPES |
| 021786300 | Medicaid | FL | |
| 815500617 | Other | IN | MEDICARE PTAN |
| 300026388 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | RN9397808 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9397808 (Florida) | 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. Michael Chung allows following entities to bill medicare on his behalf.
| Entity Name | South Florida Anesthesia & Pain Treatment Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528302866 PECOS PAC ID: 8426201401 Enrollment ID: O20121227000396 |
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| Entity Name | Atlantic Anesthesia Group One Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831663681 PECOS PAC ID: 1052653276 Enrollment ID: O20190508001336 |
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| Entity Name | University Of Miami |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
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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. Michael 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 |
Michael Chung, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Michael Chung, CRNA 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000 |
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