Samuel I Chung, DPT in Lilburn, GA - Medicare Physical Therapist Provider

Samuel I Chung, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Lilburn, Georgia. His current practice location is 996a Killian Hill Rd Sw, Lilburn, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 923-0901.

Samuel I Chung is licensed to practice in Georgia (license number PT017461) 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 1467177543.

Contact Information

	Samuel I Chung, DPT
	996a Killian Hill Rd Sw, Lilburn, GA 30047
	(770) 923-0901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel I Chung
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	996a Killian Hill Rd Sw, Lilburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467177543
Provider Enumeration Date: 10/11/2022
Last Update Date: 11/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4789055146
Enrollment ID: I20230122000010

Medical Identifiers

Medical identifiers for Samuel I Chung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467177543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070-026912 (Illinois)	Secondary
2251X0800X	Physical Therapist - Orthopedic	PT017461 (Georgia)	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. Samuel I Chung allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342

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. Samuel I 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
Samuel I Chung, DPT 966a Killian Hill Rd Sw, Lilburn, GA 30047-3102 Ph: (770) 923-0901	Samuel I Chung, DPT 996a Killian Hill Rd Sw, Lilburn, GA 30047 Ph: (770) 923-0901

Reviews and Comments

Physical Therapist in Lilburn, GA

Dr. Jibin Koyikkathu Titus, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 966a Killian Hill Rd Sw, Lilburn, GA 30047 Phone: 770-923-4815
Shital U Shilotri, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4562 Lawrenceville Hwy Nw Ste 201, Lilburn, GA 30047 Phone: 770-806-4136
Denise Meadows, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4745 Bridgewater Dr Sw, Lilburn, GA 30047 Phone: 770-337-9956
Zaras Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3100 Five Forks Trickum Rd Sw Ste 603, Lilburn, GA 30047 Phone: 678-292-6150
Darryl Drew, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 966a Killian Hill Rd Sw, Lilburn, GA 30047 Phone: 770-923-4815 Fax: 770-923-0901
Parija Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4145 Lawrenceville Hwy Nw Ste 8, Lilburn, GA 30047 Phone: 678-691-7163
Functional Improvements, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1003b Oak Rd Sw, Lilburn, GA 30047 Phone: 770-979-3272 Fax: 770-979-4442

Samuel I Chung, DPT - Medicare Physical Therapist in Lilburn, GA