MEDICARE: DR. ALEXANDER N CHUNG M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	9576	MT
2	207XS0106X	Orthopaedic Hand Surgery Physician	9576	MT

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	200039889	OTHER	MT	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0148236	OTHER	MT	WASHINGTON L & I
2	184609700	OTHER	MT	FEDERAL WORK COMP
4	000092241	OTHER	MT	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	810347861011	OTHER	MT	EBMS
7	810347861	OTHER	MT	CHAMPUS

NPI Number	:	1275577249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER N CHUNG M.D.

Provider Business Mailing Address
First Line	:	1401 25TH ST S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5183
Country	:	US
Telephone Number	:	406-731-8888
Fax Number	:	406-731-8876

Provider Business Practice Location Address
First Line	:	500 15TH AVE S
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4324
Country	:	US
Telephone Number	:	406-731-8888
Fax Number	:	406-731-8318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	04/05/2024

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax: