Dr Jina Chong, OD is a medicare enrolled "Optometrist" provider in Ashland, California. Her current practice location is
16110 E 14th St, Ashland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 471-5880.
Dr Jina Chong is licensed to practice in California (license number 35723) 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 1528762705.
Healthcare Provider's Profile
| Full Name | Dr Jina Chong |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 16110 E 14th St, Ashland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528762705
- Provider Enumeration Date: 03/30/2023
- Last Update Date: 04/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 3971962077
- Enrollment ID: I20230707002024
Medical Identifiers
Medical identifiers for Dr Jina Chong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528762705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 35723 (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. Dr Jina Chong allows following entities to bill medicare on her behalf.
| Provider Name | Pacific University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306954011
PECOS PAC ID: 0345144705
Enrollment ID: O20031126000350 |
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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. Dr Jina Chong 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 |
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Dr Jina Chong, OD
16110 E 14th St,
Ashland, CA 94578-3002
Ph: (510) 471-5880 | Dr Jina Chong, OD
16110 E 14th St,
Ashland, CA 94578-3002
Ph: (510) 471-5880 |
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