Jay Chae, NP in Victorville, CA - Medicare Nurse Practitioner

Jay Chae, NP is a medicare enrolled "Nurse Practitioner - Family" in Victorville, California. His current practice location is 15237 Eleventh St Ste C, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 493-9300.

Jay Chae is licensed to practice in California (license number 95024404) 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 1275237422.

Contact Information

	Jay Chae, NP
	15237 Eleventh St Ste C, Victorville, CA 92395-3736
	(760) 493-9300
	(760) 493-9400

Map and Direction

Provider's Profile

Full Name	Jay Chae
Gender	Male
Speciality	Nurse Practitioner - Family
Location	15237 Eleventh St Ste C, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275237422
Provider Enumeration Date: 03/29/2023
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8022475383
Enrollment ID: I20230601002444

Medical Identifiers

Medical identifiers for Jay Chae such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275237422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024404 (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. Jay Chae allows following entities to bill medicare on his behalf.

Entity Name	Namita Mohideen Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649546144 PECOS PAC ID: 1759785934 Enrollment ID: O20210810002801

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. Jay Chae 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
Jay Chae, NP 15237 Eleventh St Ste C, Victorville, CA 92395-3736 Ph: (760) 493-9300	Jay Chae, NP 15237 Eleventh St Ste C, Victorville, CA 92395-3736 Ph: (760) 493-9300

Reviews and Comments

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Jay Chae, NP - Medicare Nurse Practitioner in Victorville, CA