Ji Min Jung, CRNA in Portland, OR - Medicare Nurse Anesthetist, Certified Registered

Ji Min Jung, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. Her current practice location is 500 Ne Multnomah St Ste 100, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (800) 813-2000.

Ji Min Jung is licensed to practice in Oregon (license number 10018665) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194434993.

Contact Information

	Ji Min Jung, CRNA
	500 Ne Multnomah St Ste 100, Portland, OR 97232-2031
	(800) 813-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ji Min Jung
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	500 Ne Multnomah St Ste 100, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194434993
Provider Enumeration Date: 11/21/2022
Last Update Date: 06/06/2025

Medicare PECOS Information:

PECOS PAC ID: 0749653392
Enrollment ID: I20240424002123

Medical Identifiers

Medical identifiers for Ji Min Jung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194434993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	16015 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	10018665 (Oregon)	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. Ji Min Jung allows following entities to bill medicare on her behalf.

Entity Name	South Coast Surgery Center, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1205889110 PECOS PAC ID: 2062572258 Enrollment ID: O20081118000375

Entity Name	Hospitalist Medicine Physicians Of Washington - Tcs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616

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. Ji Min Jung 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
Ji Min Jung, CRNA 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: () -	Ji Min Jung, CRNA 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Mikelle Jenee Adamczyk, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661

Ji Min Jung, CRNA - Medicare Nurse Anesthetist, Certified Registered in Portland, OR