JENSON PAN PHUNG MD
NPI 1326786070
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
420 DELAWARE STREET SE, MMC 284, MINNEAPOLIS, MN 55455(612) 626-5454 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenson Pan Phung Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENSON PAN PHUNG MD (NPI 1326786070) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).

NPPES Registry Identity

NPI1326786070
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJENSON PAN PHUNGCredential: MD
Location Address420 DELAWARE STREET SE, MMC 284Minneapolis, MN 55455-0341
Mailing Address420 Delaware Street Se, Mmc 284Minneapolis, MN 55455
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2022
Enumeration DateMay 23, 2022
NPPES CertifiedMay 6, 2022
NPI 1326786070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE STREET SE, Minneapolis, MN 55455

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenson Pan Phung Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365822889
PECOS Enrollment IDI20250827002491, I20250917002444
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Internal Medicine (Cardiovascular Disease)
420 DELAWARE STREET SE, MMC 508
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 396
MINNEAPOLIS, MN 55455
Clinical Medical Laboratory
420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
Surgery
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenson Phung's NPI number?

The NPI number for Jenson Phung is 1326786070. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Jenson Phung located?

Jenson Phung practices at 420 Delaware Street SE Mmc 284, Minneapolis, MN 55455. The listed phone number is (612) 626-5454.

What is Jenson Phung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jenson Phung enrolled in Medicare?

Yes. Jenson Phung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenson Phung accept?

Health plans from Medica list Jenson Phung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jenson Phung affiliated with any hospitals?

According to CMS data, Jenson Phung is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Jenson Phung was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.