| Dr Christopher Brian Gong, MD | |
|
1040 S Van Dyke Rd, Suite 1, Bad Axe, MI 48413-9646 | |
| (989) 269-6911 | |
| (989) 269-9162 |
| Full Name | Dr Christopher Brian Gong |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 1040 S Van Dyke Rd, Bad Axe, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053497149 | NPI | - | NPPES |
| 01601930371 | Other | MI | AMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-105202 (Illinois) | Secondary |
| 208600000X | Surgery | 43010617599 (Michigan) | Primary |
| 208600000X | Surgery | 39798-020 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intelicare Hospice Services | Standish, MI | Hospice |
| Heartland Home Health Care And Hospice | West branch, MI | Hospice |
| Tawas St Joseph Hospital | Tawas city, MI | Hospital |
| Medilodge Of Tawas City | Tawas city, MI | Nursing home |
| Lakeview Manor Healthcare Center | Tawas city, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complexcare Medical Group Midwest H Pllc | 0143737148 | 126 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Brian Gong, MD 1040 S Van Dyke Rd, Suite 1, Bad Axe, MI 48413-9646 Ph: (989) 269-6911 | Dr Christopher Brian Gong, MD 1040 S Van Dyke Rd, Suite 1, Bad Axe, MI 48413-9646 Ph: (989) 269-6911 |
William Corsini, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1060 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 989-269-8701 Fax: 989-269-7226 |