Chao Gong, MD is a medicare enrolled "Hospitalist" physician in Dyer, Indiana. She graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Franciscan Physician Network, Northwestern Medical Faculty Foundation and her current practice location is
24 Joliet St, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 865-2141.
Chao Gong is licensed to practice in Indiana (license number 01067742A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073836706.
Physician's Profile
| Full Name | Chao Gong |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Experience | 36 Years |
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| Location | 24 Joliet St, Dyer, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chao Gong graduated from medical school in 1989
NPI Data:
- NPI Number: 1073836706
- Provider Enumeration Date: 03/09/2010
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385760529
- Enrollment ID: I20100925000036
Medical Identifiers
Medical identifiers for Chao Gong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073836706 | NPI | - | NPPES |
| 201008030A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 01067742A (Indiana) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 01067742A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 036-122754 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Franciscan Physician Network | 3072790682 | 1041 |
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
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. Chao Gong allows following entities to bill medicare on her behalf.
| Entity Name | Union Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013965573 PECOS PAC ID: 8426943614 Enrollment ID: O20040519000807 |
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| Entity Name | Franciscan Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
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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. Chao Gong 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 |
Chao Gong, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Chao Gong, MD 24 Joliet St, Dyer, IN 46311-1705 Ph: (219) 865-2141 |
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