Chunrong Zhao, is a medicare enrolled "Marriage & Family Therapist" provider in Galesburg, Illinois. Her current practice location is
292 N Chambers St, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 342-1136.
Chunrong Zhao is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104367838.
Healthcare Provider's Profile
Full Name | Chunrong Zhao |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 292 N Chambers St, Galesburg, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104367838
- Provider Enumeration Date: 03/14/2017
- Last Update Date: 03/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 7810332038
- Enrollment ID: I20240228000256
Medical Identifiers
Medical identifiers for Chunrong Zhao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104367838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chunrong Zhao allows following entities to bill medicare on her behalf.
Entity Name | Knox Community Health Center Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649526773 PECOS PAC ID: 7618126327 Enrollment ID: O20130221000169 |
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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. Chunrong Zhao 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 Address | Practice Location Address |
Chunrong Zhao, 292 N Chambers St, Galesburg, IL 61401-3835 Ph: () - | Chunrong Zhao, 292 N Chambers St, Galesburg, IL 61401-3835 Ph: (309) 342-1136 |
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