Fan Gong, is a medicare enrolled "Nurse Practitioner" physician in Abington, Pennsylvania. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Abington Memorial Hospital and her current practice location is
1200 Old York Rd, Chief Of Staff Office, Abington, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 481-2334.
Fan Gong is licensed to practice in Pennsylvania (license number SP021209) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396381166.
Physician's Profile
| Full Name | Fan Gong |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1200 Old York Rd, Abington, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Fan Gong graduated from medical school in 2019
NPI Data:
- NPI Number: 1396381166
- Provider Enumeration Date: 11/26/2019
- Last Update Date: 02/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789004839
- Enrollment ID: I20201012001913
Medical Identifiers
Medical identifiers for Fan Gong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396381166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | SP021209 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP021209 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Abington Memorial Hospital | 3274437736 | 523 |
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. Fan Gong allows following entities to bill medicare on her behalf.
| Entity Name | Main Line Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373 |
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| Entity Name | Abington Memorial Hospital |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1770508319
PECOS PAC ID: 3274437736
Enrollment ID: O20051017000570 |
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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. Fan Gong 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 |
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Fan Gong,
4 Moccasin Trl,
Media, PA 19063-4721
Ph: (412) 608-0245 | Fan Gong,
1200 Old York Rd, Chief Of Staff Office,
Abington, PA 19001
Ph: (215) 481-2334 |
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