Dr Dong Fang Zhao, MD is a medicare enrolled "General Practice" physician in Grosse Pointe Park, Michigan. His current practice location is
15001 Kercheval Ave Pmb 502, Grosse Pointe Park, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 322-7952.
Dr Dong Fang Zhao is licensed to practice in Michigan (license number 4301505594) 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 1245895606.
Physician's Profile
Full Name | Dr Dong Fang Zhao |
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Gender | Male |
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Speciality | General Practice |
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Location | 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, 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: 1245895606
- Provider Enumeration Date: 05/01/2019
- Last Update Date: 07/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688001019
- Enrollment ID: I20200225001963
Medical Identifiers
Medical identifiers for Dr Dong Fang Zhao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245895606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301505594 (Michigan) | Primary |
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 Dong Fang 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 |
Dr Dong Fang Zhao, MD 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, MI 48230-1361 Ph: (810) 322-7952 | Dr Dong Fang Zhao, MD 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, MI 48230-1361 Ph: (810) 322-7952 |
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