Van Hong Ali, is a medicare enrolled "Emergency Medicine" provider in Mchenry, Illinois. Her current practice location is
4201 W Medical Center Dr, Mchenry, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 759-4323.
Van Hong Ali is licensed to practice in Illinois (license number 036147928) 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 1457674582.
Healthcare Provider's Profile
| Full Name | Van Hong Ali |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 4201 W Medical Center Dr, Mchenry, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457674582
- Provider Enumeration Date: 03/03/2010
- Last Update Date: 05/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799073276
- Enrollment ID: I20200113001498
Medical Identifiers
Medical identifiers for Van Hong Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457674582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 125066689 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036147928 (Illinois) | 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. Van Hong Ali allows following entities to bill medicare on her behalf.
| Provider Name | Northwestern Medical Faculty Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541 |
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| Provider Name | Hospitalist Physicians Medical Group Of Illinois Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275395097
PECOS PAC ID: 3274895792
Enrollment ID: O20180321002655 |
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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. Van Hong Ali 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 |
|---|
Van Hong Ali,
4201 W Medical Center Dr,
Mchenry, IL 60050-8409
Ph: (815) 759-4323 | Van Hong Ali,
4201 W Medical Center Dr,
Mchenry, IL 60050-8409
Ph: (815) 759-4323 |
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