Dr Christopher Brian Gong, MD is a medicare enrolled "Surgery" physician in Bad Axe, Michigan. His current practice location is
1040 S Van Dyke Rd, Suite 1, Bad Axe, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 269-6911.
Dr Christopher Brian Gong is licensed to practice in Michigan (license number 43010617599) 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 1053497149.
Physician's Profile
Full Name | Dr Christopher Brian Gong |
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Gender | Male |
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Speciality | Surgery |
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Location | 1040 S Van Dyke Rd, Bad Axe, Michigan |
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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: 1053497149
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012981087
- Enrollment ID: I20040825000043
Medical Identifiers
Medical identifiers for Dr Christopher Brian Gong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053497149 | NPI | - | NPPES |
01601930371 | Other | MI | AMA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036-105202 (Illinois) | Secondary |
208600000X | Surgery | 43010617599 (Michigan) | Primary |
208600000X | Surgery | 39798-020 (Wisconsin) | Secondary |
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 Christopher Brian Gong allows following entities to bill medicare on his behalf.
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
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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 Christopher Brian 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 Christopher Brian Gong, MD 1040 S Van Dyke Rd, Suite 1, Bad Axe, MI 48413-9646 Ph: (989) 269-6911 | Dr Christopher Brian Gong, MD 1040 S Van Dyke Rd, Suite 1, Bad Axe, MI 48413-9646 Ph: (989) 269-6911 |
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