Dr Yung Fang Irene Chung Chavez, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Gabriel, California. Her current practice location is
120 S Del Mar Ave Unit 1851, San Gabriel, California. You can reach out to her office (for appointments etc.) via phone at
(626) 506-2249.
Dr Yung Fang Irene Chung Chavez is licensed to practice in California (license number 35229) 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 1518414424.
Healthcare Provider's Profile
| Full Name | Dr Yung Fang Irene Chung Chavez |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 120 S Del Mar Ave Unit 1851, San Gabriel, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518414424
- Provider Enumeration Date: 09/08/2016
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042759144
- Enrollment ID: I20240903001141
Medical Identifiers
Medical identifiers for Dr Yung Fang Irene Chung Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518414424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 35229 (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. Dr Yung Fang Irene Chung Chavez allows following entities to bill medicare on her behalf.
| Entity Name | Memory Check Psychological Services, A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021 |
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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. Dr Yung Fang Irene Chung Chavez 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 |
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Dr Yung Fang Irene Chung Chavez, PHD
120 S Del Mar Ave Unit 1851,
San Gabriel, CA 91778-7169
Ph: () - | Dr Yung Fang Irene Chung Chavez, PHD
120 S Del Mar Ave Unit 1851,
San Gabriel, CA 91778-7169
Ph: (626) 506-2249 |
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