| Dr Xiaohui Fan, MD | |
|
618 Maple Valley Dr Ste B, Farmington, MO 63640-1976 | |
| (573) 756-3400 | |
| (573) 756-0800 |
| Full Name | Dr Xiaohui Fan |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 34 Years |
| Location | 618 Maple Valley Dr Ste B, Farmington, Missouri |
| 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 |
|---|---|---|---|
| 1245276252 | NPI | - | NPPES |
| P00702176 | Other | MO | MEDICARE RAILROAD |
| 646127 | Other | MO | HEALTHLINK |
| 209158609 | Medicaid | MO | |
| P00822140 | Other | MO | MEDICARE RAILROAD |
| 43152 | Other | MO | HCUSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2003013364 (Missouri) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 2003013364 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Xiaohui's Medical, Llc | 2163551714 | 4 |
| Ste Genevieve County Memorial Hospital | 3274432802 | 73 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
| Entity Name | Mineral Area Pain Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417973660 PECOS PAC ID: 0244211605 Enrollment ID: O20040601000488 |
| Entity Name | Xiaohui's Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518297977 PECOS PAC ID: 2163551714 Enrollment ID: O20100520000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Xiaohui Fan, MD 618 Maple Valley Dr Ste B, Farmington, MO 63640-1976 Ph: (573) 756-3400 | Dr Xiaohui Fan, MD 618 Maple Valley Dr Ste B, Farmington, MO 63640-1976 Ph: (573) 756-3400 |