Mr Jack Jienan Fang, MD is a medicare enrolled "Hospitalist" physician in Rego Park, New York. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Lahey Clinic Inc and his current practice location is
6265 Saunders St Apt 5g, Rego Park, New York. You can reach out to his office (for appointments etc.) via phone at
(347) 205-7909.
Mr Jack Jienan Fang is licensed to practice in Massachusetts (license number 260808) 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 1083904080.
Physician's Profile
Full Name | Mr Jack Jienan Fang |
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Gender | Male |
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Speciality | Hospitalist |
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Experience | 13 Years |
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Location | 6265 Saunders St Apt 5g, Rego Park, New York |
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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:
- Mr Jack Jienan Fang graduated from medical school in 2011
NPI Data:
- NPI Number: 1083904080
- Provider Enumeration Date: 04/11/2011
- Last Update Date: 03/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 6608098967
- Enrollment ID: I20141121000477
Medical Identifiers
Medical identifiers for Mr Jack Jienan Fang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083904080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 260808 (Massachusetts) | Secondary |
208M00000X | Hospitalist | 260808 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lahey Clinic Inc | 2264336528 | 1200 |
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. Mr Jack Jienan Fang allows following entities to bill medicare on his behalf.
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
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Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
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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. Mr Jack Jienan Fang 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 |
Mr Jack Jienan Fang, MD 4323 Colden St Apt 19m, Flushing, NY 11355-5926 Ph: (347) 205-7909 | Mr Jack Jienan Fang, MD 6265 Saunders St Apt 5g, Rego Park, NY 11374-1576 Ph: (347) 205-7909 |
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