Ms Gwendoline Fang, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ontario, Ohio. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice North Central Ohio Family Care Center Inc and her current practice location is
715 Richland Mall, Ontario, Ohio. You can reach out to her office (for appointments etc.) via phone at
(567) 307-7663.
Ms Gwendoline Fang is licensed to practice in Ohio (license number 35.137510) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396062311.
Physician's Profile
| Full Name | Ms Gwendoline Fang |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 15 Years |
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| Location | 715 Richland Mall, Ontario, Ohio |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Gwendoline Fang graduated from medical school in 2009
NPI Data:
- NPI Number: 1396062311
- Provider Enumeration Date: 04/29/2010
- Last Update Date: 01/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204055098
- Enrollment ID: I20191023001304
Medical Identifiers
Medical identifiers for Ms Gwendoline Fang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396062311 | NPI | - | NPPES |
| 0390792 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35.137510 (Ohio) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Avita Ontario | Ontario, OH | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Central Ohio Family Care Center Inc | 3274437082 | 179 |
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. Ms Gwendoline Fang allows following entities to bill medicare on her behalf.
| Entity Name | North Central Ohio Family Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232 |
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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. Ms Gwendoline Fang 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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Ms Gwendoline Fang, MD
700 N Columbus St,
Crestline, OH 44827-1455
Ph: (567) 307-7663 | Ms Gwendoline Fang, MD
715 Richland Mall,
Ontario, OH 44906-3802
Ph: (567) 307-7663 |
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