Fangda Jiang, MD in Fond Du Lac, WI

Fangda Jiang, MD is a medicare enrolled "Hospitalist" physician in Fond Du Lac, Wisconsin. His current practice location is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 907-7500.

Fangda Jiang is licensed to practice in Wisconsin (license number 84732) 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 1255955159.

Contact Information

	Fangda Jiang, MD
	210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999
	(920) 907-7500
	Not Available

Map and Direction

Physician's Profile

Full Name	Fangda Jiang
Gender	Male
Speciality	Hospitalist
Location	210 Wisconsin American Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255955159
Provider Enumeration Date: 06/05/2020
Last Update Date: 01/28/2025

Medicare PECOS Information:

PECOS PAC ID: 0749635704
Enrollment ID: I20231011000702

Medical Identifiers

Medical identifiers for Fangda Jiang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255955159	NPI	-	NPPES
100297012	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	PT20162 (North Dakota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	MT221145 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	84732 (Wisconsin)	Secondary
208M00000X	Hospitalist	84732 (Wisconsin)	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. Fangda Jiang allows following entities to bill medicare on his behalf.

Entity Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146

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. Fangda Jiang 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
Fangda Jiang, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Fangda Jiang, MD 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 Ph: (920) 907-7500

Reviews and Comments

Hospitalist Doctors in Fond Du Lac, WI

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Kristof T. Gehrke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Amena Nazeer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 812-450-7338 Fax: 812-450-2193
Madhulika Lall, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8332 Fax: 920-926-8370

Fangda Jiang, MD - Medicare Hospitalist in Fond Du Lac, WI