Jungwook Jin, in Wheat Ridge, CO - Medicare Nurse Practitioner

Jungwook Jin, is a medicare enrolled "Nurse Practitioner - Family" in Wheat Ridge, Colorado. Her current practice location is 3400 Youngfield St, Wheat Ridge, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 459-5645.

Jungwook Jin is licensed to practice in Colorado (license number 0996400) 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 1831612761.

Contact Information

	Jungwook Jin,
	3400 Youngfield St, Wheat Ridge, CO 80033-5245
	(303) 459-5645
	Not Available

Map and Direction

Provider's Profile

Full Name	Jungwook Jin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3400 Youngfield St, Wheat Ridge, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831612761
Provider Enumeration Date: 07/23/2017
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3870983018
Enrollment ID: I20211202001934

Medical Identifiers

Medical identifiers for Jungwook Jin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831612761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	709537 (New York)	Secondary
163W00000X	Registered Nurse	709537 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	342677 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	0996400 (Colorado)	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. Jungwook Jin allows following entities to bill medicare on her behalf.

Entity Name	White Plains Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124502687 PECOS PAC ID: 3476894445 Enrollment ID: O20190402000216

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. Jungwook Jin 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
Jungwook Jin, 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () -	Jungwook Jin, 3400 Youngfield St, Wheat Ridge, CO 80033-5245 Ph: (303) 459-5645

Reviews and Comments

Nurse Practitioner Nurses in Wheat Ridge, CO

Brooke Edwards, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7821 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-2343
Mrs. Jennifer M Knodle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033 Phone: 303-379-9371 Fax: 303-284-4082
Katherine Elizabeth Slone, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7495 W 29th Ave, Wheat Ridge, CO 80033 Phone: 303-360-6276
Elizabeth Yan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033 Phone: 720-284-3700
Christina Mulkey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3885 Upham St Ste 100, Wheat Ridge, CO 80033 Phone: 303-742-0086
Mrs. Annelle Marie Fahlsing, RNC,NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2217
Kelly Chasin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033 Phone: 303-996-6005

Jungwook Jin, - Medicare Nurse Practitioner in Wheat Ridge, CO