Dr Xiaohul Fan, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Bloomsdale, Missouri. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Xiaohui's Medical, Llc, Ste Genevieve County Memorial Hospital and his current practice location is
255 Boderman, Bloomsdale, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 483-3131.
Dr Xiaohul Fan is licensed to practice in Missouri (license number 2003013364) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245276252.
Physician's Profile
Full Name | Dr Xiaohul Fan |
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Gender | Male |
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Speciality | Pain Management |
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Experience | 32 Years |
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Location | 255 Boderman, Bloomsdale, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Xiaohul Fan graduated from medical school in 1992
NPI Data:
- NPI Number: 1245276252
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224936463
- Enrollment ID: I20031223000848
Medical Identifiers
Medical identifiers for Dr Xiaohul Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245276252 | NPI | - | NPPES |
646127 | Other | MO | HEALTHLINK |
P00822140 | Other | MO | MEDICARE RAILROAD |
P00702176 | Other | MO | MEDICARE RAILROAD |
43152 | Other | MO | HCUSA |
209158609 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 2003013364 (Missouri) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 2003013364 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Xiaohui's Medical, Llc | 2163551714 | 4 |
Ste Genevieve County Memorial Hospital | 3274432802 | 72 |
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 Xiaohul Fan allows following entities to bill medicare on his behalf.
Entity Name | Ste Genevieve County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
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Entity Name | Mineral Area Pain Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417973660 PECOS PAC ID: 0244211605 Enrollment ID: O20040601000488 |
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Entity Name | Xiaohui's Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518297977 PECOS PAC ID: 2163551714 Enrollment ID: O20100520000459 |
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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 Xiaohul 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 Xiaohul Fan, MD 608 Maple Valley Dr, Farmington, MO 63640-1976 Ph: (573) 756-3400 | Dr Xiaohul Fan, MD 255 Boderman, Bloomsdale, MO 63627-9099 Ph: (573) 483-3131 |
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