Wan Soo Chung, MD is a
Family Medicine physician based in Williamston, North Carolina. Wan Soo Chung is licensed to practice in North Carolina (license number 21923) and his current practice location is 307 S Mccaskey Rd, Williamston, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 792-1071.
NPI number for Wan Soo Chung is 1295893709 and his current mailing address is 307 S Mccaskey Rd, Williamston, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295893709.
Physician's Profile
Full Name | Wan Soo Chung |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 307 S Mccaskey Rd, Williamston, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295893709
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Wan Soo Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295893709 | NPI | - | NPPES |
22478 | Other | | BLUE CROSS |
8922478 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 21923 (North Carolina) | 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. Wan Soo Chung is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wan Soo Chung, MD 307 S Mccaskey Rd, Williamston, NC 27892 Ph: (252) 792-1071 | Wan Soo Chung, MD 307 S Mccaskey Rd, Williamston, NC 27892 Ph: (252) 792-1071 |
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