Dr Edmund Jung, - Medicare Dentist in Kenosha, WI

Dr Edmund Jung, is a medicare enrolled "Dentist - General Practice" provider in Kenosha, Wisconsin. His current practice location is 3715 Washington Rd, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 654-6800.

Dr Edmund Jung is licensed to practice in Wisconsin (license number 1687) 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 1053478115.

Contact Information

Dr Edmund Jung,
3715 Washington Rd,
Kenosha, WI 53144-1629
(262) 654-6800
(262) 657-9995



Healthcare Provider's Profile

Full NameDr Edmund Jung
GenderMale
SpecialityDentist - General Practice
Location3715 Washington Rd, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053478115
  • Provider Enumeration Date: 01/01/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6800198169
  • Enrollment ID: I20160105000709

Medical Identifiers

Medical identifiers for Dr Edmund Jung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053478115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 1687 (Wisconsin)Primary

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 Edmund Jung 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 AddressPractice Location Address
Dr Edmund Jung,
3715 Washington Rd,
Kenosha, WI 53144-1629

Ph: (262) 654-6800
Dr Edmund Jung,
3715 Washington Rd,
Kenosha, WI 53144-1629

Ph: (262) 654-6800

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Dentist in Kenosha, WI

Jane Lynn Reyerson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142
Phone: 262-942-7000    Fax: 262-942-7117
Dr. Cesar D Gonzalez, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-656-0044    Fax: 262-653-2218
Dr. David J. Crewe, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3100 80th St, Kenosha, WI 53142
Phone: 262-694-2932    Fax: 262-694-3575
Dr. Tarah Marie Gerner, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 6226 14th Ave, Kenosha, WI 53143
Phone: 262-656-0044    
Dr. Jane Wright, DDS, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7851 Cooper Rd, Kenosha, WI 53142
Phone: 262-694-5272    
Jasjot Chahil, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6430 Green Bay Rd, Kenosha, WI 53142
Phone: 888-988-4066    

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