Dr Pengfeng Jack Jin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. His current practice location is
1800 W Charleston Blvd, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 308-7531.
Dr Pengfeng Jack Jin is licensed to practice in * (Not Available) (license number ) 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 1528828282.
Physician's Profile
Full Name | Dr Pengfeng Jack Jin |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1800 W Charleston Blvd, Las Vegas, Nevada |
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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: 1528828282
- Provider Enumeration Date: 03/20/2024
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416494497
- Enrollment ID: I20240808000864
Medical Identifiers
Medical identifiers for Dr Pengfeng Jack Jin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528828282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | LL4184 (Nevada) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Pengfeng Jack Jin 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 Pengfeng Jack Jin, MD 5599 Rollins St, Las Vegas, NV 89118-6050 Ph: (702) 308-7531 | Dr Pengfeng Jack Jin, MD 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 Ph: (702) 308-7531 |
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