Theodore Chung, MD is a medicare enrolled "Internal Medicine" physician in Jbsa Lackland Afb, Texas. His current practice location is
1100 Wilford Hall Loop Bldg 4554, 59 Mdw/gme, Jbsa Lackland Afb, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 266-5609.
Theodore Chung is licensed to practice in Virginia (license number 0101274313) 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 1306307301.
Physician's Profile
Full Name | Theodore Chung |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland Afb, Texas |
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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: 1306307301
- Provider Enumeration Date: 03/31/2019
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971837964
- Enrollment ID: I20190625002584
Medical Identifiers
Medical identifiers for Theodore Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306307301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0101274313 (Virginia) | Primary |
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. Theodore 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 |
Theodore Chung, MD Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5315 Ph: () - | Theodore Chung, MD 1100 Wilford Hall Loop Bldg 4554, 59 Mdw/gme, Jbsa Lackland Afb, TX 78236-9908 Ph: (210) 266-5609 |
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