Dr Fong-liang Fan, MD is a medicare enrolled "Transplant Surgery" physician in Honolulu, Hawaii. His current practice location is
2226 Liliha Street, Suite 402, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 523-0166.
Dr Fong-liang Fan is licensed to practice in Hawaii (license number 3280) 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 1790859718.
Physician's Profile
| Full Name | Dr Fong-liang Fan |
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| Gender | Male |
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| Speciality | Transplant Surgery |
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| Location | 2226 Liliha Street, Honolulu, Hawaii |
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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: 1790859718
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 11/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133218514
- Enrollment ID: I20100914000673
Medical Identifiers
Medical identifiers for Dr Fong-liang Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790859718 | NPI | - | NPPES |
| 0000BDSFG | Other | | MEDICARE |
| 193072 | Other | | HMA NEW |
| 04715601 | Other | | ALOHACARE |
| D36114 | Other | | KAISER PERM |
| 00N0053586 | Other | | HMSA |
| 04715601 | Other | | MEDICAID |
| 04715601 | Medicaid | HI | |
| D3280 | Other | | MDX |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 3280 (Hawaii) | Secondary |
| 204F00000X | Transplant Surgery | 3280 (Hawaii) | 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 Fong-liang Fan allows following entities to bill medicare on his behalf.
| Entity Name | Surgical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972677912
PECOS PAC ID: 8820053135
Enrollment ID: O20041129000708 |
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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 Fong-liang Fan 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 Fong-liang Fan, MD
550 S Beretania St, Ste 403,
Honolulu, HI 96813-2496
Ph: (808) 523-0166 | Dr Fong-liang Fan, MD
2226 Liliha Street, Suite 402,
Honolulu, HI 96817-1605
Ph: (808) 523-0166 |
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