Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Chung, PA-C

Individual provider Physician Assistant · NPI 1184385064

Stacey Chung, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

830 Harrison Avenue 3rd Fl Moakley Bldg
Boston, MA 02118-2690
Phone: (617) 638-6428
Fax: (617) 638-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 479 Washington St Ste 2, Quincy, MA 02169-5895 — (857) 529-5220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8638 (MA)

Record details

NPI number1184385064
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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