Dr Xiaohul Fan, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Bloomsdale, Missouri. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1245276252
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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