Tae Yong Chang, in Saint Paul, MN - Medicare Allergy & Immunology

Tae Yong Chang, is a medicare enrolled "Allergy & Immunology - Allergy" physician in Saint Paul, Minnesota. His current practice location is 565 Snelling Ave S, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 698-0386.

Tae Yong Chang is licensed to practice in Minnesota (license number 78259) 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 1467959619.

Contact Information

	Tae Yong Chang,
	565 Snelling Ave S, Saint Paul, MN 55116-1525
	(651) 698-0386
	(866) 314-4031

Map and Direction

Physician's Profile

Full Name	Tae Yong Chang
Gender	Male
Speciality	Allergy & Immunology - Allergy
Location	565 Snelling Ave S, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467959619
Provider Enumeration Date: 04/12/2018
Last Update Date: 01/19/2025

Medicare PECOS Information:

PECOS PAC ID: 0547618597
Enrollment ID: I20231130003240

Medical Identifiers

Medical identifiers for Tae Yong Chang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467959619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207KA0200X	Allergy & Immunology - Allergy	78259 (Minnesota)	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. Tae Yong Chang allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Tae Yong Chang 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
Tae Yong Chang, 565 Snelling Ave S, Saint Paul, MN 55116-1525 Ph: (651) 698-0386	Tae Yong Chang, 565 Snelling Ave S, Saint Paul, MN 55116-1525 Ph: (651) 698-0386

Reviews and Comments

Allergy & Immunology Doctors in Saint Paul, MN

John Geoffrey Wahlstrom, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 565 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-698-0386 Fax: 651-698-0483
Anthony Charles Orecchia, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-9700
Dr. Niladri Aichbhaumik, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 565 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-698-0386 Fax: 651-698-0483
Dr. Sarah Margaret Nicolai, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564
Roula Altisheh, M.D Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7560
William Emmett Walsh, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1690 University Ave W, Suite 450, Saint Paul, MN 55104 Phone: 651-645-8182 Fax: 651-649-3509

Tae Yong Chang, - Medicare Allergy & Immunology in Saint Paul, MN