Jenna Hyeonsoo Jung, MD is a medicare enrolled "Allergy & Immunology" physician in Long Island City, New York. Her current practice location is
1017 Jackson Ave, Long Island City, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 971-9095.
Jenna Hyeonsoo Jung is licensed to practice in New York (license number 309501) 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 1508360439.
Physician's Profile
| Full Name | Jenna Hyeonsoo Jung |
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| Gender | Female |
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| Speciality | Allergy & Immunology |
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| Location | 1017 Jackson Ave, Long Island City, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508360439
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789912221
- Enrollment ID: I20240111004431
Medical Identifiers
Medical identifiers for Jenna Hyeonsoo Jung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508360439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 309501 (New York) | Primary |
| 208000000X | Pediatrics | 309501 (New York) | Secondary |
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. Jenna Hyeonsoo Jung allows following entities to bill medicare on her behalf.
| Entity Name | Reenal Patel Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225669559
PECOS PAC ID: 8224468939
Enrollment ID: O20200421001288 |
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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. Jenna Hyeonsoo Jung 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 |
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Jenna Hyeonsoo Jung, MD
1017 Jackson Ave,
Long Island City, NY 11101-5986
Ph: (718) 971-9095 | Jenna Hyeonsoo Jung, MD
1017 Jackson Ave,
Long Island City, NY 11101-5986
Ph: (718) 971-9095 |
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