| Kang Li, PA-C | |
|
2315 Myrtle St Ste L10, Erie, PA 16502-4611 | |
| (814) 454-2401 | |
| (814) 459-5992 |
| Full Name | Kang Li |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2315 Myrtle St Ste L10, Erie, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942766969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | MA061061 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Vincent Hospital | Erie, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahn Observation Group, Llc | 1557753811 | 28 |
| Entity Name | St Vincent Medical Education and Research Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
| Entity Name | Ahn Emergency Group of Erie County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336564798 PECOS PAC ID: 3072746585 Enrollment ID: O20140508000746 |
| Entity Name | Ahn Hospitalist Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770984304 PECOS PAC ID: 1153543251 Enrollment ID: O20141105000169 |
| Entity Name | Ahn Observation Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Kang Li, PA-C 2315 Myrtle St Ste L10, Erie, PA 16502-4611 Ph: (814) 454-2401 | Kang Li, PA-C 2315 Myrtle St Ste L10, Erie, PA 16502-4611 Ph: (814) 454-2401 |
Dynara Mirone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4247 W Ridge Rd, Erie, PA 16506 Phone: 814-835-2580 |
Colleen Kassandra Dominici, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 Fax: 814-877-3622 |
Larae Tymochko, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2315 Myrtle St Ste 160, Erie, PA 16502 Phone: 814-456-9197 Fax: 814-455-2765 |
Katharine Theresa Ressler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W 12th St, Erie, PA 16505 Phone: 814-836-2600 |
Elizabeth Arduini, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980 |
Sarah Al-asady, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2315 Myrtle St Ste L10, Erie, PA 16502 Phone: 814-453-7767 Fax: 814-454-6667 |
Mr. Martin Pan Hong, PA - C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-5354 |