Derek Patrick Gong, MD in Santa Rosa, CA - Medicare Internal Medicine

Derek Patrick Gong, MD is a medicare enrolled "Internal Medicine" physician in Santa Rosa, California. His current practice location is 16319 Third Street, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 869-2849.

Derek Patrick Gong is licensed to practice in California (license number A66344) 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 1184671513.

Contact Information

	Derek Patrick Gong, MD
	16319 Third Street, Santa Rosa, CA 95409
	(707) 869-2849
	(707) 869-1477

Map and Direction

Physician's Profile

Full Name	Derek Patrick Gong
Gender	Male
Speciality	Internal Medicine
Location	16319 Third Street, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184671513
Provider Enumeration Date: 05/30/2006
Last Update Date: 11/28/2007

Medicare PECOS Information:

PECOS PAC ID: 7618918830
Enrollment ID: I20050518000803

Medical Identifiers

Medical identifiers for Derek Patrick Gong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184671513	NPI	-	NPPES
00A663440	Medicaid	CA
ZZZ73222Z	Other	CA	GROUP PTAN
FHC03887F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A66344 (California)	Primary
208000000X	Pediatrics	A66344 (California)	Secondary

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. Derek Patrick Gong allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Wound Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942606744 PECOS PAC ID: 8820314529 Enrollment ID: O20150223001584

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. Derek Patrick 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
Derek Patrick Gong, MD 16319 Third Street, Santa Rosa, CA 95446 Ph: (707) 869-2849	Derek Patrick Gong, MD 16319 Third Street, Santa Rosa, CA 95409 Ph: (707) 869-2849

Reviews and Comments

Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100
Dr. Yulia Rivelis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458
Soheila Benrazavi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616
Suhana Elamsenthil, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000
Jarrod Paul Holmes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874
Dr. James Andrew Driscoll, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599
Dominic Joseph Picetti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Derek Patrick Gong, MD - Medicare Internal Medicine in Santa Rosa, CA