Jae Wook Kwon, DO - Medicare Family Medicine in Fullerton, CA

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Jae Wook Kwon, DO is a medicare enrolled "Family Medicine" physician in Fullerton, California. His current practice location is 2251 N Harbor Blvd, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 449-6230.

Jae Wook Kwon is licensed to practice in California (license number 20A16207) 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 1558624957.

Contact Information

Jae Wook Kwon, DO
2251 N Harbor Blvd,
Fullerton, CA 92835-2601
(714) 449-6230
Not Available

Map and Direction




Physician's Profile

Full NameJae Wook Kwon
GenderMale
SpecialityFamily Medicine
Location2251 N Harbor Blvd, Fullerton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558624957
  • Provider Enumeration Date: 06/20/2012
  • Last Update Date: 12/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678899622
  • Enrollment ID: I20151123002690

Medical Identifiers

Medical identifiers for Jae Wook Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558624957NPI-NPPES
1558624957MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D01985 (Nevada)Secondary
207Q00000XFamily Medicine 20A16207 (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. Jae Wook Kwon allows following entities to bill medicare on his behalf.
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102
Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

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. Jae Wook Kwon 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 AddressPractice Location Address
Jae Wook Kwon, DO
2251 N Harbor Blvd,
Fullerton, CA 92835-2601

Ph: (714) 449-6230		Jae Wook Kwon, DO
2251 N Harbor Blvd,
Fullerton, CA 92835-2601

Ph: (714) 449-6230

Reviews and Comments


Family Medicine Doctors in Fullerton, CA

Ynolde Faustina Smith, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2151 N Harbor Blvd, Suite 3200, Fullerton, CA 92835
Phone: 714-446-5101    Fax: 714-871-3006
Milie Marie Tolentino, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 731 S Highland Ave, Fullerton, CA 92832
Phone: 714-446-5100    Fax: 714-449-1743
Dr. Wonbae Choe, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 720 N Harbor Blvd, Fullerton, CA 92832
Phone: 714-782-7700    Fax: 714-982-3979
Marisse Herrera, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1440 N Harbor Blvd Ste 110, Fullerton, CA 92835
Phone: 657-212-3212    
Christopher Aou, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1835 Sunny Crest Dr, Fullerton, CA 92835
Phone: 714-446-5101    
Dr. Anne Amer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1006 E Bastanchury Rd, Fullerton, CA 92835
Phone: 714-255-1790    Fax: 714-255-1733
Dr. Henry Rivera Kaw Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 321 N Pomona Ave, Suite B, Fullerton, CA 92832
Phone: 714-462-8383    Fax: 714-462-8384

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.