Jungyeol Oh, PHD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Commerce, California. Her current practice location is
1000 Goodrich Blvd, Commerce, California. You can reach out to her office (for appointments etc.) via phone at
(323) 832-9795.
Jungyeol Oh is licensed to practice in California (license number NP18183) 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 1447414552.
Healthcare Provider's Profile
Full Name | Jungyeol Oh |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1000 Goodrich Blvd, Commerce, California |
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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: 1447414552
- Provider Enumeration Date: 07/17/2008
- Last Update Date: 01/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 8527124155
- Enrollment ID: I20120112000567
Medical Identifiers
Medical identifiers for Jungyeol Oh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447414552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY15310 (California) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 288613 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP18183 (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. Jungyeol Oh allows following entities to bill medicare on her behalf.
Entity Name | Enki Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932230638 PECOS PAC ID: 8022926559 Enrollment ID: O20040117000204 |
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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. Jungyeol Oh 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 |
Jungyeol Oh, PHD 1616 Leycross Dr, La Canada, CA 91011-3010 Ph: (818) 790-7881 | Jungyeol Oh, PHD 1000 Goodrich Blvd, Commerce, CA 90022-5103 Ph: (323) 832-9795 |
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