Chongsuh Bae, DNP in Benbrook, TX - Medicare Nurse Practitioner

Chongsuh Bae, DNP is a medicare enrolled "Nurse Practitioner - Family" in Benbrook, Texas. His current practice location is 1160 Sopwith Ct, Benbrook, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 353-0132.

Chongsuh Bae is licensed to practice in Texas (license number 1044451) 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 1487300398.

Contact Information

	Chongsuh Bae, DNP
	1160 Sopwith Ct, Benbrook, TX 76126-4284
	(817) 353-0132
	Not Available

Map and Direction

Provider's Profile

Full Name	Chongsuh Bae
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1160 Sopwith Ct, Benbrook, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487300398
Provider Enumeration Date: 03/01/2022
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 8628410966
Enrollment ID: I20240531001471

Medical Identifiers

Medical identifiers for Chongsuh Bae such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487300398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1044451 (Texas)	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. Chongsuh Bae allows following entities to bill medicare on his behalf.

Entity Name	Vpa Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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. Chongsuh Bae 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
Chongsuh Bae, DNP 1160 Sopwith Ct, Benbrook, TX 76126-4284 Ph: (817) 353-0132	Chongsuh Bae, DNP 1160 Sopwith Ct, Benbrook, TX 76126-4284 Ph: (817) 353-0132

Reviews and Comments

Nurse Practitioner Nurses in Benbrook, TX

Victorine Tebong, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8840 Benbrook Blvd Ste 101, Benbrook, TX 76126 Phone: 817-813-7101 Fax: 817-382-5458
Carol M Shelley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1004 Winscott Rd, Benbrook, TX 76126 Phone: 817-249-0111 Fax: 817-249-0110
Brenda Nyambweke, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8840 Benbrook Blvd, Benbrook, TX 76126 Phone: 682-233-6832 Fax: 817-249-7375
Renee Aviles, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6320 Southwest Blvd Ste 200, Benbrook, TX 76109 Phone: 817-766-5500
Dawn Ann Duvall, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8735 Benbrook Blvd Ste A, Benbrook, TX 76126 Phone: 682-301-3400 Fax: 682-701-5999
Patricia Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Sproles Dr Ste 101, Benbrook, TX 76126 Phone: 817-249-4100 Fax: 817-249-4185
Ms. Diana L. Jones, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6407 Southwest Blvd, Benbrook, TX 76132 Phone: 817-731-9198 Fax: 817-731-9199

Chongsuh Bae, DNP - Medicare Nurse Practitioner in Benbrook, TX