Jenny Phung, is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. Her current practice location is
2225 Challenger Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 576-8181.
Jenny Phung is licensed to practice in California (license number 117713) 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 1730798273.
Healthcare Provider's Profile
Full Name | Jenny Phung |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2225 Challenger Way, Santa Rosa, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730798273
- Provider Enumeration Date: 07/30/2020
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668919689
- Enrollment ID: I20240807003417
Medical Identifiers
Medical identifiers for Jenny Phung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730798273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 85539 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 117713 (California) | Primary |
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. Jenny Phung 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 |
Jenny Phung, 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 576-8181 | Jenny Phung, 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 576-8181 |
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