Chunrong Zhao, is a medicare enrolled "Marriage & Family Therapist" provider in Galesburg, Illinois. Her current practice location is
292 N Chambers St, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 342-1136.
Chunrong Zhao is licensed to practice in * (Not Available) (license number ) 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 1104367838.
Healthcare Provider's Profile
| Full Name | Chunrong Zhao |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 292 N Chambers St, Galesburg, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104367838
- Provider Enumeration Date: 03/14/2017
- Last Update Date: 03/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 7810332038
- Enrollment ID: I20240228000256
Medical Identifiers
Medical identifiers for Chunrong Zhao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104367838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Chunrong Zhao allows following entities to bill medicare on her behalf.
| Entity Name | Knox Community Health Center Nfp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649526773 PECOS PAC ID: 7618126327 Enrollment ID: O20130221000169 |
|---|
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. Chunrong Zhao 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 |
Chunrong Zhao, 292 N Chambers St, Galesburg, IL 61401-3835 Ph: () - | Chunrong Zhao, 292 N Chambers St, Galesburg, IL 61401-3835 Ph: (309) 342-1136 |
Reviews and Comments