Dr Andrew Aaron Gong, MD is a medicare enrolled "General Practice" physician in Bossier City, Louisiana. His current practice location is
2890 Douglas Dr # 100, Bossier City, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 742-6900.
Dr Andrew Aaron Gong is licensed to practice in Louisiana (license number 334144) 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 1568950160.
Physician's Profile
Full Name | Dr Andrew Aaron Gong |
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Gender | Male |
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Speciality | General Practice |
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Location | 2890 Douglas Dr # 100, Bossier City, Louisiana |
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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: 1568950160
- Provider Enumeration Date: 04/29/2018
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456737758
- Enrollment ID: I20230410001674
Medical Identifiers
Medical identifiers for Dr Andrew Aaron Gong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568950160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 62892 (Tennessee) | Secondary |
208D00000X | General Practice | 334144 (Louisiana) | 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. Dr Andrew Aaron Gong allows following entities to bill medicare on his behalf.
Entity Name | Louisiana Family Medicine Clinic 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548538200 PECOS PAC ID: 4183889009 Enrollment ID: O20120627000379 |
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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. Dr Andrew Aaron Gong 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 |
Dr Andrew Aaron Gong, MD 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 Ph: (615) 327-6611 | Dr Andrew Aaron Gong, MD 2890 Douglas Dr # 100, Bossier City, LA 71111-5806 Ph: (318) 742-6900 |
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