Adina Gong, is a medicare enrolled "Occupational Therapist" provider in Prospect Heights, Illinois. Her current practice location is
940 E Old Willow Rd Apt 305, Prospect Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(347) 702-2888.
Adina Gong is licensed to practice in Illinois (license number 056.015879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972145209.
Healthcare Provider's Profile
| Full Name | Adina Gong |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 940 E Old Willow Rd Apt 305, Prospect Heights, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972145209
- Provider Enumeration Date: 10/08/2019
- Last Update Date: 04/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789029034
- Enrollment ID: I20240227001948
Medical Identifiers
Medical identifiers for Adina Gong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972145209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 056.015879 (Illinois) | Primary |
| 225X00000X | Occupational Therapist | 028812 (New York) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | 057.005748 (Illinois) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | 010099 (New York) | Secondary |
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. Adina Gong allows following entities to bill medicare on her behalf.
| Provider Name | Illinois Home Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1114506102
PECOS PAC ID: 5799178968
Enrollment ID: O20220210002153 |
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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. Adina 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 |
|---|
Adina Gong,
940 E Old Willow Rd Apt 305,
Prospect Heights, IL 60070-2421
Ph: (347) 702-2888 | Adina Gong,
940 E Old Willow Rd Apt 305,
Prospect Heights, IL 60070-2421
Ph: (347) 702-2888 |
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