Chungja C Shim, is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Titusville, Pennsylvania. Chungja C Shim is licensed to practice in Pennsylvania (license number MD02206SE) and her current practice location is 406 W Oak Street, Titusville Area Hospital, Titusville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 827-1851.
NPI number for Chungja C Shim is 1437269685 and her current mailing address is Po Box 28, Washington, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437269685.
Physician's Profile
| Full Name | Chungja C Shim |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 406 W Oak Street, Titusville, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437269685
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Chungja C Shim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437269685 | NPI | - | NPPES |
| 009579700001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD02206SE (Pennsylvania) | 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. Chungja C Shim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chungja C Shim,
Po Box 28,
Washington, PA 15301
Ph: (724) 228-3400 | Chungja C Shim,
406 W Oak Street, Titusville Area Hospital,
Titusville, PA 16354
Ph: (814) 827-1851 |
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