Yiran Gong, MD in Maywood, IL - Medicare Internal Medicine

Yiran Gong, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Maywood, Illinois. His current practice location is 2160 S 1st Ave Rm 7609, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 216-8757.

Yiran Gong is licensed to practice in Illinois (license number 036171093) 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 1942705967.

Contact Information

	Yiran Gong, MD
	2160 S 1st Ave Rm 7609, Maywood, IL 60153
	(708) 216-8757
	(708) 216-1259

Map and Direction

Physician's Profile

Full Name	Yiran Gong
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	2160 S 1st Ave Rm 7609, Maywood, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942705967
Provider Enumeration Date: 03/30/2018
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5698024313
Enrollment ID: I20240725000728

Medical Identifiers

Medical identifiers for Yiran Gong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942705967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.073117 (Illinois)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	036171093 (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. Yiran Gong allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Yiran Gong 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
Yiran Gong, MD 7210 Jackson Blvd Apt F1, Forest Park, IL 60130-3226 Ph: (918) 549-0611	Yiran Gong, MD 2160 S 1st Ave Rm 7609, Maywood, IL 60153 Ph: (708) 216-8757

Reviews and Comments

Internal Medicine Doctors in Maywood, IL

Dr. Cathryn T Sawalski, DO, MBA Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888
Maryam Sabir, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888
Holly Kramer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, 101-1740 Loyola University Medical Center, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-9033
Dr. Stephanie Bochen Tsai, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000
Nicholas Poellinger, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888
Marisa Luck, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888
Sofia Ahmed, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8757

Yiran Gong, MD - Medicare Internal Medicine in Maywood, IL