Dr Tyson Chung, DDS in Jbsa Lackland, TX - Medicare Dentist Provider

Dr Tyson Chung, DDS is a medicare enrolled "Dentist" provider in Jbsa Lackland, Texas. His current practice location is 2133 Pepperrell St Bldg 3352, Jbsa Lackland, Texas. You can reach out to his office (for appointments etc.) via phone at (253) 861-4819.

Dr Tyson Chung is licensed to practice in California (license number DDS101101) 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 1861702557.

Contact Information

	Dr Tyson Chung, DDS
	2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313
	(253) 861-4819
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyson Chung
Gender	Male
Speciality	Dentist
Location	2133 Pepperrell St Bldg 3352, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861702557
Provider Enumeration Date: 10/14/2010
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3173828993
Enrollment ID: I20160216001713

Medical Identifiers

Medical identifiers for Dr Tyson Chung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861702557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DE60189165 (Washington)	Secondary
122300000X	Dentist	DDS101101 (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. Dr Tyson 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
Dr Tyson Chung, DDS 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 Ph: (253) 861-4819	Dr Tyson Chung, DDS 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 Ph: (253) 861-4819

Reviews and Comments

Dentist in Jbsa Lackland, TX

Dr. Henry Andrew Foerster, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-6990
Dr. David Lynn Wells, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225
Dr. Corydon Louis Doerr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2261 Hughes Ave Ste 153, Jbsa Lackland, TX 78236 Phone: 210-395-9661
Dr. Timothy Wayne Hatchett Sr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-0123
Dr. Mark Daniel Ryan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236 Phone: 210-292-6258 Fax: 210-292-2618
Evan Shipp, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 512-621-5529
Harrison Gordner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2133 Pepperrell St Bldg 3352, 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236 Phone: 210-292-6258

Dr Tyson Chung, DDS - Medicare Dentist in Jbsa Lackland, TX