Eunjae Sung, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Gardena, California. Her current practice location is
1740 W Gardena Blvd, Gardena, California. You can reach out to her office (for appointments etc.) via phone at
(164) 804-3637.
Eunjae Sung is licensed to practice in California (license number 95010489) 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 1235594185.
Physician's Profile
Full Name | Eunjae Sung |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 1740 W Gardena Blvd, Gardena, 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: 1235594185
- Provider Enumeration Date: 12/18/2015
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991084162
- Enrollment ID: I20161110000430
Medical Identifiers
Medical identifiers for Eunjae Sung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235594185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 0024174203 (Virginia) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | R218810 (Maryland) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 95010489 (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. Eunjae Sung allows following entities to bill medicare on her behalf.
Entity Name | Mdics At Meritus Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306258645 PECOS PAC ID: 3173742590 Enrollment ID: O20140917002568 |
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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. Eunjae Sung 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 |
Eunjae Sung, CRNP 1740 W Gardena Blvd, Gardena, CA 90247-4764 Ph: (716) 480-4363 | Eunjae Sung, CRNP 1740 W Gardena Blvd, Gardena, CA 90247-4764 Ph: (164) 804-3637 |
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