Jesse Tung, - Medicare Nurse Practitioner in San Bruno, CA

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Jesse Tung, is a medicare enrolled "Nurse Practitioner - Family" in San Bruno, California. His current practice location is 10 Bayhill Shopping Center, San Bruno, California. You can reach out to his office (for appointments etc.) via phone at (650) 873-9522.

Jesse Tung is licensed to practice in California (license number 95015292) 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 1114634185.

Contact Information

Jesse Tung,
10 Bayhill Shopping Center,
San Bruno, CA 94066
(650) 873-9522
Not Available

Map and Direction




Provider's Profile

Full NameJesse Tung
GenderMale
SpecialityNurse Practitioner - Family
Location10 Bayhill Shopping Center, San Bruno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114634185
  • Provider Enumeration Date: 10/31/2022
  • Last Update Date: 10/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587035233
  • Enrollment ID: I20230117002741

Medical Identifiers

Medical identifiers for Jesse Tung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114634185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95015292 (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. Jesse Tung allows following entities to bill medicare on his behalf.
Entity NameUniversal Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376632877
PECOS PAC ID: 2365332368
Enrollment ID: O20040315001597
Entity NameMolina Healthcare Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348
Entity NameMinuteclinic Diagnostic Medical Group Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033309372
PECOS PAC ID: 8224191374
Enrollment ID: O20090115000289
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249
Entity NameCentral Health Plan Of California, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386714772
PECOS PAC ID: 7416395736
Enrollment ID: O20240405001559

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. Jesse Tung 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 AddressPractice Location Address
Jesse Tung,
10 Bayhill Shopping Center,
San Bruno, CA 94066

Ph: () -		Jesse Tung,
10 Bayhill Shopping Center,
San Bruno, CA 94066

Ph: (650) 873-9522

Reviews and Comments


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Ms. Erleen Solon Fernandez, MSN, FNP-BC
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.