Mr Roger Fong, MPT is a medicare enrolled "Physical Therapist" provider in Chicago, Illinois. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
4835 S Langley Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 403-1853.
Mr Roger Fong is licensed to practice in Illinois (license number 070013559) 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 1821352915.
Healthcare Provider's Profile
| Full Name | Mr Roger Fong |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 24 Years |
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| Location | 4835 S Langley Ave, Chicago, Illinois |
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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. |
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Medical Education and Training:
- Mr Roger Fong graduated from medical school in 2002
NPI Data:
- NPI Number: 1821352915
- Provider Enumeration Date: 07/03/2012
- Last Update Date: 10/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709188188
- Enrollment ID: I20160113000144
Medical Identifiers
Medical identifiers for Mr Roger Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821352915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 198001289 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 070013559 (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. Mr Roger Fong allows following entities to bill medicare on his behalf.
| Provider Name | Bodhi & Sage, 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: 1538534359
PECOS PAC ID: 1254633639
Enrollment ID: O20151230002429 |
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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 Roger 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 |
|---|
Mr Roger Fong, MPT
1525 E 53rd St Ste 814,
Chicago, IL 60615-4572
Ph: (312) 403-1853 | Mr Roger Fong, MPT
4835 S Langley Ave,
Chicago, IL 60615-1515
Ph: (312) 403-1853 |
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