Charles Cholsoo Kang, MD in San Leandro, CA

Charles Cholsoo Kang, MD is a medicare enrolled "Pediatrics" physician in San Leandro, California. His current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Charles Cholsoo Kang is licensed to practice in California (license number A67761) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750469508.

Contact Information

	Charles Cholsoo Kang, MD
	2500 Merced St, San Leandro, CA 94577-4201
	(510) 454-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Cholsoo Kang
Gender	Male
Speciality	Pediatrics
Location	2500 Merced St, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750469508
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 3072797851
Enrollment ID: I20110404000423

Medical Identifiers

Medical identifiers for Charles Cholsoo Kang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750469508	NPI	-	NPPES
00A677610	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A67761 (California)	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. Charles Cholsoo Kang allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Charles Cholsoo Kang 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
Charles Cholsoo Kang, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000	Charles Cholsoo Kang, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000

Reviews and Comments

Pediatrics Doctors in San Leandro, CA

Sharon Eileen Durousseau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Shannon Liu-ku, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, Hospital Building, Nicu, San Leandro, CA 94577 Phone: 510-454-1000
Stacie Louise Walton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Dr. Arnold J Blustein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1235 Harrison St, San Leandro, CA 94577 Phone: 510-352-2425 Fax: 510-352-6273
Berenice M Ku, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Dr. Roxanna Aimee Martinez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-547-2702
Dr. Katherine M Gallagher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Doolittle Drive, Bancroft Pediatrics, San Leandro, CA 94577 Phone: 510-483-2600

Charles Cholsoo Kang, MD - Medicare Pediatrics in San Leandro, CA