Dr Ji Yeong Kang, MD is a medicare enrolled "Hospitalist" physician in Dededo, Guam. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Guam Healthcare Development Incorporated and her current practice location is
133 Route 3, Dededo, Guam. You can reach out to her office (for appointments etc.) via phone at
(671) 645-5500.
Dr Ji Yeong Kang is licensed to practice in Guam (license number M-1829) 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 1790903805.
Physician's Profile
| Full Name | Dr Ji Yeong Kang |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 133 Route 3, Dededo, Guam |
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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. |
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Medical Education and Training:
- Dr Ji Yeong Kang graduated from medical school in 1997
NPI Data:
- NPI Number: 1790903805
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 06/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103142781
- Enrollment ID: I20170614000925
Medical Identifiers
Medical identifiers for Dr Ji Yeong Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790903805 | NPI | - | NPPES |
| H110000 | Medicaid | GU | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | M-1829 (Guam) | Secondary |
| 207R00000X | Internal Medicine | MD-17465 (Hawaii) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | M-1829 (Guam) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Guam Healthcare Development Incorporated | 9234351776 | 124 |
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 Ji Yeong Kang allows following entities to bill medicare on her behalf.
| Entity Name | Guam Healthcare Development Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326447939
PECOS PAC ID: 9234351776
Enrollment ID: O20150326000266 |
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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 Ji Yeong Kang 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 Ji Yeong Kang, MD
193 Tumon Ln Apt 212,
Tamuning, GU 96913-4332
Ph: () - | Dr Ji Yeong Kang, MD
133 Route 3,
Dededo, GU 96929-6911
Ph: (671) 645-5500 |
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