Garrett Kungho Ni, MD in Mount Carmel, IL

Garrett Kungho Ni, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Mount Carmel, Illinois. He went to Albany Medical College Of Union University and graduated in 2019 and has 6 years of diverse experience with area of expertise as Otolaryngology. His current practice location is 1418 College Dr, Mount Carmel, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 262-2278.

Garrett Kungho Ni is licensed to practice in California (license number A196402) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477113116.

Contact Information

	Garrett Kungho Ni, MD
	1418 College Dr, Mount Carmel, IL 62863-2638
	(618) 262-2278
	Not Available

Map and Direction

Physician's Profile

Full Name	Garrett Kungho Ni
Gender	Male
Speciality	Otolaryngology
Experience	6 Years
Location	1418 College Dr, Mount Carmel, Illinois
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Garrett Kungho Ni attended and graduated from Albany Medical College Of Union University in 2019

NPI Data:

NPI Number: 1477113116
Provider Enumeration Date: 06/14/2019
Last Update Date: 09/24/2025

Medicare PECOS Information:

PECOS PAC ID: 1355676412
Enrollment ID: I20240604004334

Medical Identifiers

Medical identifiers for Garrett Kungho Ni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477113116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MT217956 (Pennsylvania)	Secondary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	A196402 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

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. Garrett Kungho Ni allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935251 PECOS PAC ID: 6406749308 Enrollment ID: O20040204000971

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. Garrett Kungho Ni 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
Garrett Kungho Ni, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 262-2278	Garrett Kungho Ni, MD 1418 College Dr, Mount Carmel, IL 62863-2638 Ph: (618) 262-2278

Garrett Kungho Ni, MD - Medicare Otolaryngology in Mount Carmel, IL