Seunghyun Jae, - Medicare Dentist in Champaign, IL

Seunghyun Jae, is a medicare enrolled "Dentist" provider in Champaign, Illinois. His current practice location is 1905 W Springfield Ave, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at (888) 988-4066.

Seunghyun Jae is licensed to practice in Illinois (license number 019030252) 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 1184008708.

Contact Information

Seunghyun Jae,
1905 W Springfield Ave,
Champaign, IL 61821
(888) 988-4066
(847) 496-4850



Healthcare Provider's Profile

Full NameSeunghyun Jae
GenderMale
SpecialityDentist
Location1905 W Springfield Ave, Champaign, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184008708
  • Provider Enumeration Date: 07/14/2015
  • Last Update Date: 07/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1153623301
  • Enrollment ID: I20160106000229

Medical Identifiers

Medical identifiers for Seunghyun Jae such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184008708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019030252 (Illinois)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. Seunghyun Jae 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
Seunghyun Jae,
2050 E Algonquin Rd,
Schaumburg, IL 60173-4144

Ph: (888) 988-4066
Seunghyun Jae,
1905 W Springfield Ave,
Champaign, IL 61821

Ph: (888) 988-4066

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› Verified 7 days ago


Dentist in Champaign, IL

Jae Ung Jung,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1905 W Springfield Ave, Champaign, IL 61821
Phone: 888-988-4066    
Dr. Robert Benjamin Scott, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 805 W. Springfield Ave., Champaign, IL 61820
Phone: 217-352-5088    
Oluwatosin Hannah Ayo-okuwobi,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1905 W Springfield Ave, Champaign, IL 61821
Phone: 888-988-4066    
Dr. Venu Maturi, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 14 E Anthony Dr, Suite B, Champaign, IL 61820
Phone: 217-398-1660    Fax: 217-398-1657
Dr. William Ray Thompson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 507 S Second St, Champaign, IL 61820
Phone: 217-356-1189    Fax: 217-356-1742
Dr. Erika Ynga, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 703 S Neil St, Champaign, IL 61820
Phone: 217-398-2244    Fax: 217-398-9188
Thomas E Standley, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 30 E Green Street, Suite 1, Champaign, IL 61820
Phone: 217-355-5600    Fax: 217-355-4550

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