Zhaijun Fan, DO - Medicare Family Practice in South Bend, IN

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Zhaijun Fan, DO is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 1815 E Ireland Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1750.

Zhaijun Fan is licensed to practice in Indiana (license number 02003570A) 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 1124225578.

Contact Information

Zhaijun Fan, DO
1815 E Ireland Rd,
South Bend, IN 46614-2845
(574) 647-1750
(574) 647-1748

Map and Direction




Physician's Profile

Full NameZhaijun Fan
GenderMale
SpecialityFamily Practice
Experience17 Years
Location1815 E Ireland Rd, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Zhaijun Fan attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2007
  NPI Data:
  • NPI Number: 1124225578
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 04/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840322426
  • Enrollment ID: I20100716000647

Medical Identifiers

Medical identifiers for Zhaijun Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124225578NPI-NPPES
200977390MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 02003570A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306444

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. Zhaijun Fan allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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. Zhaijun Fan 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
Zhaijun Fan, DO
710 N. Niles Ave,
South Bend, IN 46617-1924

Ph: (574) 647-1610		Zhaijun Fan, DO
1815 E Ireland Rd,
South Bend, IN 46614-2845

Ph: (574) 647-1750

Reviews and Comments


Family Medicine Doctors in South Bend, IN

Dr. Jon Andrew Shull, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1708 High St, South Bend, IN 46613
Phone: 574-647-1400    Fax: 574-237-6663
Louis Cavadini, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9395    Fax: 574-204-6345
Dale Alan Patterson, M.D.
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Medicare: Medicare Enrolled
Practice Location: 714 N Michigan St, South Bend, IN 46601
Phone: 574-647-7477    
Dr. Nicholas Harold Kerr, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3050    Fax: 574-647-1094
Dr. Curtis L Gongwer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4440 North Portage Avenue, South Bend, IN 46628
Phone: 574-204-6200    Fax: 574-288-1426
Robert Hays, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17321 State Road 23, South Bend, IN 46635
Phone: 574-335-8400    Fax: 574-335-0796
Matthew T. Dupre, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 N Michigan St, South Bend, IN 46601
Phone: 574-647-7477    Fax: 574-647-3655

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.