Lerone Fong, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Morton Grove, Illinois. Her current practice location is
9047 Central Ave, Morton Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 966-8186.
Lerone Fong is licensed to practice in Illinois (license number 209-028661) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225704927.
Provider's Profile
| Full Name | Lerone Fong |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 9047 Central Ave, Morton Grove, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225704927
- Provider Enumeration Date: 08/22/2021
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375987415
- Enrollment ID: I20240216003038
Medical Identifiers
Medical identifiers for Lerone Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225704927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041409728 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209-028661 (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. Lerone Fong allows following entities to bill medicare on her behalf.
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962822395
PECOS PAC ID: 4688893878
Enrollment ID: O20140922000405 |
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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. Lerone Fong 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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Lerone Fong, CRNA
29373 Network Pl,
Chicago, IL 60673-1293
Ph: () - | Lerone Fong, CRNA
9047 Central Ave,
Morton Grove, IL 60053-2565
Ph: (847) 966-8186 |
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