Dr Lillian Fong, MD is a medicare enrolled "Pediatrics" physician in Loris, South Carolina. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
3617 Casey St Ste B, Loris, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 716-8300.
Dr Lillian Fong is licensed to practice in South Carolina (license number 88015) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1720547706.
Physician's Profile
| Full Name | Dr Lillian Fong |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 6 Years |
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| Location | 3617 Casey St Ste B, Loris, South Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Lillian Fong graduated from medical school in 2019
NPI Data:
- NPI Number: 1720547706
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567790090
- Enrollment ID: I20250422001107
Medical Identifiers
Medical identifiers for Dr Lillian Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720547706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 88015 (South Carolina) | Primary |
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 Lillian Fong allows following entities to bill medicare on her behalf.
| Entity Name | Mcleod Physician Associates Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568 |
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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 Lillian Fong 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 |
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Dr Lillian Fong, MD
3617 Casey St Ste B,
Loris, SC 29569-2981
Ph: (843) 716-8300 | Dr Lillian Fong, MD
3617 Casey St Ste B,
Loris, SC 29569-2981
Ph: (843) 716-8300 |
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