Adam Ouyang, DPT is a medicare enrolled "Clinic/center - Physical Therapy" provider in Chicago, Illinois. His current practice location is
2155 N Elston Ave Apt 218, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(718) 751-5209.
Adam Ouyang is licensed to practice in Illinois (license number 070.027210) 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 1790483527.
Healthcare Provider's Profile
| Full Name | Adam Ouyang |
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| Gender | Male |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2155 N Elston Ave Apt 218, Chicago, 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: 1790483527
- Provider Enumeration Date: 02/21/2023
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436519600
- Enrollment ID: I20230719002675
Medical Identifiers
Medical identifiers for Adam Ouyang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790483527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 070.027210 (Illinois) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 070.027210 (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. Adam Ouyang allows following entities to bill medicare on his behalf.
| Provider Name | Evolve Healthcare, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1316588841
PECOS PAC ID: 8820420342
Enrollment ID: O20191121000150 |
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| Provider Name | Illinois Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033755566
PECOS PAC ID: 5193153450
Enrollment ID: O20200319001790 |
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| Provider Name | Dependable Care Staffing, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1316654635
PECOS PAC ID: 5799155404
Enrollment ID: O20221221000597 |
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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. Adam Ouyang 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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Adam Ouyang, DPT
2155 N Elston Ave Apt 218,
Chicago, IL 60614-0048
Ph: (718) 751-5209 | Adam Ouyang, DPT
2155 N Elston Ave Apt 218,
Chicago, IL 60614-0048
Ph: (718) 751-5209 |
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