Dr Elton Yichao Li, MD is a medicare enrolled "Family Medicine" physician in Baraga, Michigan. His current practice location is
102 N. Superior Avenue, Baraga, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 353-8700.
Dr Elton Yichao Li is licensed to practice in Illinois (license number 036174328) 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 1144844564.
Physician's Profile
Full Name | Dr Elton Yichao Li |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 102 N. Superior Avenue, Baraga, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144844564
- Provider Enumeration Date: 06/01/2020
- Last Update Date: 05/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830511252
- Enrollment ID: I20250515001601
Medical Identifiers
Medical identifiers for Dr Elton Yichao Li such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144844564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036174328 (Illinois) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 4351046940 (Michigan) | Secondary |
207Q00000X | Family Medicine | 4301510061 (Michigan) | 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. Dr Elton Yichao Li allows following entities to bill medicare on his behalf.
Entity Name | Fairview Heights Medical Group Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
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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. Dr Elton Yichao Li 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 |
Dr Elton Yichao Li, MD Po Box 902, Northville, MI 48167-0902 Ph: (731) 358-6654 | Dr Elton Yichao Li, MD 102 N. Superior Avenue, Baraga, MI 49908 Ph: (906) 353-8700 |
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