Dr Yong Jung Chang, DDS is a medicare enrolled "Dentist - General Practice" provider in Lake City, Iowa. His current practice location is
1331 W Main St, Box 122, Lake City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 464-3124.
Dr Yong Jung Chang is licensed to practice in Iowa (license number 08817) 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 1710270376.
Healthcare Provider's Profile
Full Name | Dr Yong Jung Chang |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1331 W Main St, Lake City, Iowa |
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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: 1710270376
- Provider Enumeration Date: 05/16/2011
- Last Update Date: 06/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 4981927530
- Enrollment ID: I20150106002201
Medical Identifiers
Medical identifiers for Dr Yong Jung Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710270376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 08817 (Iowa) | 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 Yong Jung Chang 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 Yong Jung Chang, DDS 1331 W Main St, Box 122, Lake City, IA 51449-1585 Ph: (712) 464-3124 | Dr Yong Jung Chang, DDS 1331 W Main St, Box 122, Lake City, IA 51449-1585 Ph: (712) 464-3124 |
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