Fangda Jiang, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bismarck, North Dakota. His current practice location is
900 E Broadway Ave, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 530-7000.
Fangda Jiang is licensed to practice in Pennsylvania (license number MT221145) 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 1255955159.
Physician's Profile
Full Name | Fangda Jiang |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 900 E Broadway Ave, Bismarck, North 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: 1255955159
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749635704
- Enrollment ID: I20231011000702
Medical Identifiers
Medical identifiers for Fangda Jiang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255955159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PT20162 (North Dakota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT221145 (Pennsylvania) | 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. Fangda Jiang allows following entities to bill medicare on his behalf.
Entity Name | St Alexius Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
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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. Fangda Jiang 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 |
Fangda Jiang, MD 320 E North Ave Ste 133b, Pittsburgh, PA 15212-4756 Ph: () - | Fangda Jiang, MD 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-7000 |
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