Dr Yoon-taek Chun, MD,FAAP is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in E Stroudsburg, Pennsylvania. His current practice location is
263 Prospect St, E Stroudsburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 421-3575.
Dr Yoon-taek Chun is licensed to practice in Pennsylvania (license number MD030828E) 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 1134120496.
Physician's Profile
Full Name | Dr Yoon-taek Chun |
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Gender | Male |
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Speciality | Pediatrics - Adolescent Medicine |
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Location | 263 Prospect St, E Stroudsburg, Pennsylvania |
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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: 1134120496
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 04/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 3779929260
- Enrollment ID: I20240306003509
Medical Identifiers
Medical identifiers for Dr Yoon-taek Chun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134120496 | NPI | - | NPPES |
00947786 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | MD030828E (Pennsylvania) | 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 Yoon-taek Chun allows following entities to bill medicare on his behalf.
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
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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 Yoon-taek Chun 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 Yoon-taek Chun, MD,FAAP 263 Prospect St, E Stroudsburg, PA 18301-2943 Ph: (570) 421-3575 | Dr Yoon-taek Chun, MD,FAAP 263 Prospect St, E Stroudsburg, PA 18301-2943 Ph: (570) 421-3575 |
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