Chae Young Kwon, PA-C - Medicare Physician Assistant in Roseville, CA

Chae Young Kwon, PA-C is a medicare enrolled "Physician Assistant" in Roseville, California. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Telemedicine Group Pc and her current practice location is 3400 Douglas Blvd Ste 170, Roseville, California. You can reach out to her office (for appointments etc.) via phone at (855) 446-8628.

Chae Young Kwon is licensed to practice in California (license number PA61920) 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 1447969233.

Contact Information

Chae Young Kwon, PA-C
3400 Douglas Blvd Ste 170,
Roseville, CA 95661-4281
(855) 446-8628
(916) 527-0770

Map and Direction




Provider's Profile

Full NameChae Young Kwon
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location3400 Douglas Blvd Ste 170, Roseville, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chae Young Kwon graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1447969233
  • Provider Enumeration Date: 11/21/2022
  • Last Update Date: 09/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0547626418
  • Enrollment ID: I20230518001865

Medical Identifiers

Medical identifiers for Chae Young Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447969233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA61920 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Coast HospitalCrescent city, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Telemedicine Group Pc983035182494

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. Chae Young Kwon allows following entities to bill medicare on her behalf.
Entity NameTelemedicine Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326338237
PECOS PAC ID: 9830351824
Enrollment ID: O20120509000349
Entity NameMary Gessner-peterson Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467709220
PECOS PAC ID: 1658526637
Enrollment ID: O20130222000341

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. Chae Young Kwon 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 AddressPractice Location Address
Chae Young Kwon, PA-C
Po Box 211982,
Chula Vista, CA 91921-1982

Ph: Not Available
Chae Young Kwon, PA-C
3400 Douglas Blvd Ste 170,
Roseville, CA 95661-4281

Ph: (855) 446-8628

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.