Dr Xinyu Daniel Li, MD, PHD is a medicare enrolled "General Practice" physician in Fort Thompson, South Dakota. His current practice location is
1323 Bia Route 4, Fort Thompson, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 245-1500.
Dr Xinyu Daniel Li is licensed to practice in Georgia (license number 064592) 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 1144421504.
Physician's Profile
Full Name | Dr Xinyu Daniel Li |
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Gender | Male |
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Speciality | General Practice |
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Location | 1323 Bia Route 4, Fort Thompson, South Dakota |
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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: 1144421504
- Provider Enumeration Date: 05/31/2007
- Last Update Date: 09/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 3072787803
- Enrollment ID: I20111114000299
Medical Identifiers
Medical identifiers for Dr Xinyu Daniel Li such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144421504 | NPI | - | NPPES |
5549010 | Medicaid | SD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 064592 (Georgia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | TRN 10258 (Florida) | 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 Xinyu Daniel Li allows following entities to bill medicare on his behalf.
Entity Name | Fort Thompson Indian Health Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710995907 PECOS PAC ID: 9739080896 Enrollment ID: O20040120000889 |
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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 Xinyu Daniel Li 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 Xinyu Daniel Li, MD, PHD Po Box 200, Fort Thompson, SD 57339-0200 Ph: () - | Dr Xinyu Daniel Li, MD, PHD 1323 Bia Route 4, Fort Thompson, SD 57339-0200 Ph: (605) 245-1500 |
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