Jungmin Kang, AG-ACNP in Palo Alto, CA - Medicare Nurse Practitioner

Jungmin Kang, AG-ACNP is a medicare enrolled "Nurse Practitioner" in Palo Alto, California. Her current practice location is 300 Pasteur Dr # A160, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 725-4672.

Jungmin Kang is licensed to practice in California (license number 95007388) 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 1538694914.

Contact Information

	Jungmin Kang, AG-ACNP
	300 Pasteur Dr # A160, Palo Alto, CA 94305-2200
	(650) 725-4672
	Not Available

Map and Direction

Provider's Profile

Full Name	Jungmin Kang
Gender	Female
Speciality	Nurse Practitioner
Location	300 Pasteur Dr # A160, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538694914
Provider Enumeration Date: 04/24/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2163798562
Enrollment ID: I20171031001223

Medical Identifiers

Medical identifiers for Jungmin Kang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538694914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	717640 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95007388 (California)	Secondary
363L00000X	Nurse Practitioner	95007388 (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. Jungmin Kang allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Jungmin Kang 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
Jungmin Kang, AG-ACNP 300 Pasteur Dr, Stanford, CA 94305 Ph: () -	Jungmin Kang, AG-ACNP 300 Pasteur Dr # A160, Palo Alto, CA 94305-2200 Ph: (650) 725-4672

Reviews and Comments

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Jungmin Kang, AG-ACNP - Medicare Nurse Practitioner in Palo Alto, CA