Jae K Yang, MD - Medicare Emergency Medicine in O'fallon, IL

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Jae K Yang, MD is a medicare enrolled "Emergency Medicine" physician in O'fallon, Illinois. His current practice location is 103 North Oak St., O'fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 624-3368.

Jae K Yang is licensed to practice in Illinois (license number 036-053690) 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 1093814675.

Contact Information

Jae K Yang, MD
103 North Oak St.,
O'fallon, IL 62269
(618) 624-3368
Not Available

Map and Direction




Physician's Profile

Full NameJae K Yang
GenderMale
SpecialityEmergency Medicine
Location103 North Oak St., O'fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093814675
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4981643137
  • Enrollment ID: I20050427001188

Medical Identifiers

Medical identifiers for Jae K Yang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093814675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-053690 (Illinois)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. Jae K Yang allows following entities to bill medicare on his behalf.
Entity NameHshs Holy Family Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205850690
PECOS PAC ID: 7517879349
Enrollment ID: O20040216000198
Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074

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. Jae K Yang 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 AddressPractice Location Address
Jae K Yang, MD
103 North Oak St.,
O'fallon, IL 62269

Ph: (618) 624-3368		Jae K Yang, MD
103 North Oak St.,
O'fallon, IL 62269

Ph: (618) 624-3368

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Emergency Medicine Doctors in O'fallon, IL