Erlaine De Leoz Chung, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Los Angeles, California. Her current practice location is
8635 W 3rd St Ste 1195w, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 423-8661.
Erlaine De Leoz Chung is licensed to practice in California (license number 95028162) 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 1114788445.
Physician's Profile
Full Name | Erlaine De Leoz Chung |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8635 W 3rd St Ste 1195w, Los Angeles, 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: 1114788445
- Provider Enumeration Date: 01/23/2024
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183066988
- Enrollment ID: I20240524001357
Medical Identifiers
Medical identifiers for Erlaine De Leoz Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114788445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 95028162 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95028162 (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. Erlaine De Leoz Chung allows following entities to bill medicare on her behalf.
Entity Name | Cedars-sinai Medical Care Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
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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. Erlaine De Leoz 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 |
Erlaine De Leoz Chung, FNP-C 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Erlaine De Leoz Chung, FNP-C 8635 W 3rd St Ste 1195w, Los Angeles, CA 90048-6146 Ph: (310) 423-8661 |
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