Dr Ivy D Chung, MD in Miller Place, NY - Medicare Family Medicine

Dr Ivy D Chung, MD is a medicare enrolled "Family Medicine" physician in Miller Place, New York. Her current practice location is 765 Route 25a, Miller Place, New York. You can reach out to her office (for appointments etc.) via phone at (631) 821-0505.

Dr Ivy D Chung is licensed to practice in New York (license number 263721) 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 1477822757.

Contact Information

	Dr Ivy D Chung, MD
	765 Route 25a, Miller Place, NY 11764-2649
	(631) 821-0505
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ivy D Chung
Gender	Female
Speciality	Family Medicine
Location	765 Route 25a, Miller Place, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477822757
Provider Enumeration Date: 12/15/2011
Last Update Date: 12/15/2011

Medicare PECOS Information:

PECOS PAC ID: 9032354428
Enrollment ID: I20130408000445

Medical Identifiers

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

Identifier	Type	State	Issuer
1477822757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	263721 (New York)	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. Dr Ivy D Chung allows following entities to bill medicare on her behalf.

Entity Name	Charles Evans Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454

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 Ivy D 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 Ivy D Chung, MD 94 Rumford Rd, Kings Park, NY 11754-3903 Ph: (917) 292-6971	Dr Ivy D Chung, MD 765 Route 25a, Miller Place, NY 11764-2649 Ph: (631) 821-0505

Reviews and Comments

Family Medicine Doctors in Miller Place, NY

Dr. Mark David Wasserman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Route 25a, Miller Place, NY 11764 Phone: 631-744-6666 Fax: 631-744-0525
Dr. Joseph Michael Venezia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 765 Route 25a, Miller Place, NY 11764 Phone: 631-821-0505 Fax: 631-821-5065
Dr. Mark Alan Koenig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 765 Route 25a Ste 6, Miller Place, NY 11764 Phone: 631-320-3200 Fax: 631-350-7798

Dr Ivy D Chung, MD - Medicare Family Medicine in Miller Place, NY