Song Kang, PHYSICIAN ASSISTANT - Medicare Family Practice in Decatur, IL

  1. Home
Song Kang, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" physician in Decatur, Illinois. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Memorial Physician Services, Osf Multi-specialty Group and her current practice location is 320 E Central Ave, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 877-4694.

Song Kang is licensed to practice in Indiana (license number 085006761) 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 1366927741.

Contact Information

Song Kang, PHYSICIAN ASSISTANT
320 E Central Ave,
Decatur, IL 62521-4665
(217) 877-4694
Not Available

Map and Direction




Physician's Profile

Full NameSong Kang
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location320 E Central Ave, Decatur, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Song Kang graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1366927741
  • Provider Enumeration Date: 10/01/2018
  • Last Update Date: 10/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4587083829
  • Enrollment ID: I20201006001118

Medical Identifiers

Medical identifiers for Song Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366927741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 085006761 (Illinois)Secondary
363AM0700XPhysician Assistant - Medical 085006761 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital
Memorial Medical CenterSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Physician Services9032005681170
Osf Multi-specialty Group36788897891543

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. Song Kang allows following entities to bill medicare on her behalf.
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417922964
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454
Entity NameCommunity Health Improvement Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467784090
PECOS PAC ID: 4385625342
Enrollment ID: O20040526000316

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. Song 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 AddressPractice Location Address
Song Kang, PHYSICIAN ASSISTANT
3727 N Northhaven Ct Apt 2a,
Decatur, IL 62526-9250

Ph: (618) 201-9860		Song Kang, PHYSICIAN ASSISTANT
320 E Central Ave,
Decatur, IL 62521-4665

Ph: (217) 877-4694

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.