Ms Jessica Sung Chung, PT, DPT is a medicare enrolled "Physical Therapist" provider in Seattle, Washington. Her current practice location is
549 N 83rd St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 552-4752.
Ms Jessica Sung Chung is licensed to practice in California (license number 301382) 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 1053635920.
Healthcare Provider's Profile
| Full Name | Ms Jessica Sung Chung |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 549 N 83rd St, Seattle, Washington |
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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: 1053635920
- Provider Enumeration Date: 03/22/2010
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345612172
- Enrollment ID: I20230203002518
Medical Identifiers
Medical identifiers for Ms Jessica Sung Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053635920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | MA6038755 (Washington) | Secondary |
| 225100000X | Physical Therapist | 301382 (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. Ms Jessica Sung Chung allows following entities to bill medicare on her behalf.
| Provider Name | Southern California Permanente Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Ms Jessica Sung 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 |
|---|
Ms Jessica Sung Chung, PT, DPT
549 N 83rd St,
Seattle, WA 98103-4307
Ph: (206) 552-4752 | Ms Jessica Sung Chung, PT, DPT
549 N 83rd St,
Seattle, WA 98103-4307
Ph: (206) 552-4752 |
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