Edward Park Kang, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Canton, Georgia. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2005 and has 19 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Northside Surgical Professional Services Llc and his current practice location is
460 Northside Cherokee Blvd Ste 100, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 292-3490.
Edward Park Kang is licensed to practice in Georgia (license number 70309) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154504082.
Physician's Profile
| Full Name | Edward Park Kang |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 19 Years |
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| Location | 460 Northside Cherokee Blvd Ste 100, Canton, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- Edward Park Kang attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005
NPI Data:
- NPI Number: 1154504082
- Provider Enumeration Date: 12/13/2007
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062661465
- Enrollment ID: I20130904000475
Medical Identifiers
Medical identifiers for Edward Park Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154504082 | NPI | - | NPPES |
| 003135923B | Medicaid | GA | |
| 003135923A | Medicaid | GA | |
| 003135923D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 54147 (Minnesota) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 70309 (Georgia) | Primary |
| 208600000X | Surgery | 4301086626 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northside Surgical Professional Services Llc | 8628253424 | 262 |
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. Edward Park Kang allows following entities to bill medicare on his behalf.
| Entity Name | Northside Surgical Professional Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598 |
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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. Edward Park 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 |
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Edward Park Kang, MD
980 Johnson Fy Rd Ne, Ste 1040,
Atlanta, GA 30342-1626
Ph: (770) 292-3496 | Edward Park Kang, MD
460 Northside Cherokee Blvd Ste 100,
Canton, GA 30115-8017
Ph: (770) 292-3490 |
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