Dr Jeenah Jung, MD, PHD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Dearborn, Michigan. Her current practice location is
22060 Beech St Ste 300, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 228-0230.
Dr Jeenah Jung is licensed to practice in Michigan (license number 4301506942) 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 1427405596.
Physician's Profile
Full Name | Dr Jeenah Jung |
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Gender | Female |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 22060 Beech St Ste 300, Dearborn, Michigan |
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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: 1427405596
- Provider Enumeration Date: 05/18/2016
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103110770
- Enrollment ID: I20220816002684
Medical Identifiers
Medical identifiers for Dr Jeenah Jung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427405596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 4301506942 (Michigan) | 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 Jeenah Jung allows following entities to bill medicare on her behalf.
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
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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 Jeenah Jung 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 Jeenah Jung, MD, PHD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Dr Jeenah Jung, MD, PHD 22060 Beech St Ste 300, Dearborn, MI 48124-2847 Ph: (313) 228-0230 |
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