Dr Jennifer Hong, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Clemente, California. Her current practice location is
806 Avenida Pico Ste I-330, San Clemente, California. You can reach out to her office (for appointments etc.) via phone at
(951) 289-5424.
Dr Jennifer Hong is licensed to practice in * (Not Available) (license number ) 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 1609458132.
Physician's Profile
Full Name | Dr Jennifer Hong |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 806 Avenida Pico Ste I-330, San Clemente, California |
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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: 1609458132
- Provider Enumeration Date: 04/23/2021
- Last Update Date: 04/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315310158
- Enrollment ID: I20230227001498
Medical Identifiers
Medical identifiers for Dr Jennifer Hong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609458132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 182145 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Jennifer Hong allows following entities to bill medicare on her behalf.
Entity Name | Nebula Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194479501 PECOS PAC ID: 8820482805 Enrollment ID: O20220309000254 |
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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 Jennifer Hong 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 Jennifer Hong, MD 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 Ph: (951) 827-7669 | Dr Jennifer Hong, MD 806 Avenida Pico Ste I-330, San Clemente, CA 92673-5639 Ph: (951) 289-5424 |
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