Dr Sang Van Chung, MD is a medicare enrolled "Pediatrics" physician in Patton, California. His current practice location is
3102 E. Highland Avenue, Medical Staff Office, Patton, California. You can reach out to his office (for appointments etc.) via phone at
(909) 425-7679.
Dr Sang Van Chung is licensed to practice in California (license number A413950) 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 1841243516.
Physician's Profile
Full Name | Dr Sang Van Chung |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 3102 E. Highland Avenue, Patton, 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: 1841243516
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 09/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012044498
- Enrollment ID: I20100415000658
Medical Identifiers
Medical identifiers for Dr Sang Van Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841243516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A413950 (California) | 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 Sang Van Chung allows following entities to bill medicare on his behalf.
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
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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 Sang Van 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 Sang Van Chung, MD 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 | Dr Sang Van Chung, MD 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 |
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