Song Kang, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" physician in Decatur, Illinois. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Osf Multi-specialty Group, Memorial Physician Services and her current practice location is
320 E Central Ave, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 877-4694.
Song Kang is licensed to practice in Indiana (license number 085006761) 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 1366927741.
Physician's Profile
| Full Name | Song Kang |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 320 E Central Ave, Decatur, Illinois |
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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:
- Song Kang graduated from medical school in 2018
NPI Data:
- NPI Number: 1366927741
- Provider Enumeration Date: 10/01/2018
- Last Update Date: 10/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587083829
- Enrollment ID: I20230105001409
Medical Identifiers
Medical identifiers for Song Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366927741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 085006761 (Illinois) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 085006761 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osf Multi-specialty Group | 3678889789 | 1552 |
| Memorial Physician Services | 9032005681 | 165 |
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. Song Kang 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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Song Kang, PHYSICIAN ASSISTANT
3727 N Northhaven Ct Apt 2a,
Decatur, IL 62526-9250
Ph: (618) 201-9860 | Song Kang, PHYSICIAN ASSISTANT
320 E Central Ave,
Decatur, IL 62521-4665
Ph: (217) 877-4694 |
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