Mrs Kathleen H Chung, OD is a medicare enrolled "Optometrist" provider in Paris, Arkansas. Her current practice location is
25 E. Walnut, Paris, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 963-2661.
Mrs Kathleen H Chung is licensed to practice in Arkansas (license number 2564) 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 1619939832.
Healthcare Provider's Profile
Full Name | Mrs Kathleen H Chung |
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Gender | Female |
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Speciality | Optometrist |
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Location | 25 E. Walnut, Paris, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619939832
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 04/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 8123040615
- Enrollment ID: I20051227000573
Medical Identifiers
Medical identifiers for Mrs Kathleen H Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619939832 | NPI | - | NPPES |
5N406 | Other | AR | BLUE CROSS AND BLUE SHIEL |
159554722 | Medicaid | AR | |
159544722 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2564 (Arkansas) | 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. Mrs Kathleen H Chung allows following entities to bill medicare on her behalf.
Provider Name | Chung Eye Care Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1396897013 PECOS PAC ID: 6608898192 Enrollment ID: O20051227000624 |
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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. Mrs Kathleen H 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 |
Mrs Kathleen H Chung, OD P.o. Box 647, Paris, AR 72855 Ph: (479) 963-2661 | Mrs Kathleen H Chung, OD 25 E. Walnut, Paris, AR 72855 Ph: (479) 963-2661 |
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