Mr Jae Hwan Chung, NP in Los Angeles, CA - Medicare Nurse Practitioner

Mr Jae Hwan Chung, NP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. His current practice location is 520 S Virgil Ave Ste 507, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 850-9925.

Mr Jae Hwan Chung is licensed to practice in California (license number 95004056) 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 1184053662.

Contact Information

	Mr Jae Hwan Chung, NP
	520 S Virgil Ave Ste 507, Los Angeles, CA 90020-1452
	(310) 850-9925
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jae Hwan Chung
Gender	Male
Speciality	Nurse Practitioner - Family
Location	520 S Virgil Ave Ste 507, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184053662
Provider Enumeration Date: 11/05/2013
Last Update Date: 06/16/2016

Medicare PECOS Information:

PECOS PAC ID: 7517201304
Enrollment ID: I20181205001761

Medical Identifiers

Medical identifiers for Mr Jae Hwan Chung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184053662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004056 (California)	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. Mr Jae Hwan Chung allows following entities to bill medicare on his behalf.

Entity Name	Min Young Cha Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205108024 PECOS PAC ID: 9931480555 Enrollment ID: O20161219002814

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. Mr Jae Hwan 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
Mr Jae Hwan Chung, NP 1720 Mission St Apt 5, South Pasadena, CA 91030-3329 Ph: (310) 850-9925	Mr Jae Hwan Chung, NP 520 S Virgil Ave Ste 507, Los Angeles, CA 90020-1452 Ph: (310) 850-9925

Reviews and Comments

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Mr Jae Hwan Chung, NP - Medicare Nurse Practitioner in Los Angeles, CA