DR. JACQUELINE IN JEONG HONG (MD) – Psychiatry Physician, NPI 1336768860

DR. JACQUELINE IN JEONG HONG (MD) is a healthcare provider. based in Dickinson, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME169745 (FL). The NPI Number for DR. JACQUELINE IN JEONG HONG (MD) is 1336768860

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE IN JEONG HONG (MD)
NPI
1336768860
Phone
(503) 317-8150
Address
207 COLONY LAKE LN
Enumeration Date
14 April 2020
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
2019 (7 years ago)
PAC ID
1052741915
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20240816003587
Address ID
FL322079032JA1301XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for DR. JACQUELINE IN JEONG HONG (MD)

  • 207 COLONY LAKE LN

    DICKINSON, TX 775396170

    Phone: (503) 317-8150

    Type: Mailing

  • PO BOX 24449

    NEW YORK, NY 100870589

    Phone: (917) 634-5311

    Type: Mailing

  • 207 Colony Lake Ln

    Dickinson, TX 775396170

    Phone: (503) 317-8150

    Type: Location

  • 1301 RIVERPLACE BLVD STE 800

    JACKSONVILLE, FL 322079032

    Phone: (917) 634-5311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Alkermes, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240816003587IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77539)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YCO
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

What federal number belongs to DR. JACQUELINE IN JEONG HONG (MD)?
The federal identifier for DR. JACQUELINE IN JEONG HONG (MD) is NPI 1336768860.
Is DR. JACQUELINE IN JEONG HONG (MD)'s NPI currently valid?
The extract we use shows DR. JACQUELINE IN JEONG HONG (MD) as active.
What kind of provider is DR. JACQUELINE IN JEONG HONG (MD)?
The page reflects Psychiatry Physician for DR. JACQUELINE IN JEONG HONG (MD). Clinical services aligned with this taxonomy classification.
Where is DR. JACQUELINE IN JEONG HONG (MD)'s primary listing?
We display Dickinson, Texas because that is what the record indicates for DR. JACQUELINE IN JEONG HONG (MD).
What if Dickinson, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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