| Eunji Jung, | |
|
59 Main St, Potsdam, NY 13676-2123 | |
| (315) 268-6400 | |
| Not Available |
| Full Name | Eunji Jung |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 59 Main St, Potsdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932922937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1214452 (New Jersey) | Primary |
| Entity Name | Icahn School of Medicine at Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497029581 PECOS PAC ID: 2264691070 Enrollment ID: O20120731000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Eunji Jung, 59 Main St, Potsdam, NY 13676-2123 Ph: Not Available | Eunji Jung, 59 Main St, Potsdam, NY 13676-2123 Ph: (315) 268-6400 |
Heather Mackinnon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Bernadette Avila, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 |
An Tulloch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Elm St, Potsdam, NY 13676 Phone: 315-261-5420 |
Christina Kashmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Luke Alexander Gillis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Abrinel Marie Seeger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8 Clarkson Ave, Potsdam, NY 13669 Phone: 315-268-6400 |
Matthew Cheevers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |