Stacey Joanna Jeong, in San Bruno, CA - Medicare Speech-Language Pathologist Provider

Stacey Joanna Jeong, is a medicare enrolled "Speech-language Pathologist" provider in San Bruno, California. Her current practice location is 462 San Mateo Ave Ste A, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at (415) 469-4988.

Stacey Joanna Jeong is licensed to practice in California (license number 15943) 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 1972272433.

Contact Information

	Stacey Joanna Jeong,
	462 San Mateo Ave Ste A, San Bruno, CA 94066-4437
	(415) 469-4988
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Joanna Jeong
Gender	Female
Speciality	Speech-language Pathologist
Location	462 San Mateo Ave Ste A, San Bruno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972272433
Provider Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7719349927
Enrollment ID: I20230818001438

Medical Identifiers

Medical identifiers for Stacey Joanna Jeong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972272433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	15943 (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. Stacey Joanna Jeong allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Stacey Joanna Jeong 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
Stacey Joanna Jeong, 462 San Mateo Ave Ste A, San Bruno, CA 94066-4437 Ph: (415) 469-4988	Stacey Joanna Jeong, 462 San Mateo Ave Ste A, San Bruno, CA 94066-4437 Ph: (415) 469-4988

Reviews and Comments

Speech-Language Pathologist in San Bruno, CA

Glenda C Delgado, M.S, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Ste A, San Bruno, CA 94066 Phone: 916-729-3098
Annel Maria Rojas, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Ste A, San Bruno, CA 94066 Phone: 415-469-4988
Julia Stankiewicz, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Unit A, San Bruno, CA 94066 Phone: 510-250-9199
Ms. Lauren N Achacoso, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Ste A, San Bruno, CA 94066 Phone: 510-250-9199
Esther D Martinez, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave, San Bruno, CA 94066 Phone: 415-469-4988

Stacey Joanna Jeong, - Medicare Speech-Language Pathologist in San Bruno, CA