Paul K Li, MD is a medicare enrolled "Plastic Surgery" physician in Champaign, Illinois. His current practice location is
3105 Fields South Dr, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 902-7527.
Paul K Li is licensed to practice in Illinois (license number 036129123) 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 1801907431.
Physician's Profile
| Full Name | Paul K Li |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 3105 Fields South Dr, Champaign, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801907431
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 5991869000
- Enrollment ID: I20120430000757
Medical Identifiers
Medical identifiers for Paul K Li such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801907431 | NPI | - | NPPES |
| 34055400 | Medicaid | WI | |
| 200928690 | Medicaid | IN | |
| 000000596754 | Other | IN | ANTHEM PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 37821 (Wisconsin) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 01065914A (Indiana) | Secondary |
| 208200000X | Plastic Surgery | 036129123 (Illinois) | 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. Paul K Li allows following entities to bill medicare on his behalf.
| Entity Name | Hoopeston Community Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
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| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
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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. Paul K Li 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 |
Paul K Li, MD 611 W Park St, Bwpc, Urbana, IL 61801-2529 Ph: (217) 383-6792 | Paul K Li, MD 3105 Fields South Dr, Champaign, IL 61822-3743 Ph: (217) 902-7527 |
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