Ki Sum Fan, in Whitestone, NY - Medicare Physical Therapist In Private Practice Provider

Ki Sum Fan, is a medicare enrolled "Physical Therapist" provider in Whitestone, New York. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic and his current practice location is 15253 10th Ave, Whitestone, New York. You can reach out to his office (for appointments etc.) via phone at (718) 587-0850.

Ki Sum Fan is licensed to practice in New York (license number 053617) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467266122.

Contact Information

	Ki Sum Fan,
	15253 10th Ave, Whitestone, NY 11357-1252
	(718) 587-0850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ki Sum Fan
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	15253 10th Ave, Whitestone, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ki Sum Fan graduated from medical school in 2024

NPI Data:

NPI Number: 1467266122
Provider Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025

Medicare PECOS Information:

PECOS PAC ID: 0244750024
Enrollment ID: I20250224002192

Medical Identifiers

Medical identifiers for Ki Sum Fan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467266122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	053617 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sports Physical Therapy Occupational Therapy And Rehabilitation Servic	0446140446	485

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. Ki Sum Fan allows following entities to bill medicare on his behalf.

Provider Name	Sports Physical Therapy Occupational Therapy And Rehabilitation Servic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603

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. Ki Sum Fan 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
Ki Sum Fan, 972 Brush Hollow Rd Fl 4, Westbury, NY 11590-1740 Ph: (516) 474-2816	Ki Sum Fan, 15253 10th Ave, Whitestone, NY 11357-1252 Ph: (718) 587-0850

Reviews and Comments

Physical Therapist in Whitestone, NY

Thomas Chang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 718-767-0260
Stephanie Lescouflair, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0260 Fax: 718-767-0260
Khalid Aboelmaaty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1752 Francis Lewis Blvd, Whitestone, NY 11357 Phone: 917-724-4330 Fax: 718-746-4963
Farrah Brittany Margolin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 718-767-0260
Raymon Lukose, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 516-750-9076
Richard Victor Lenz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 718-767-0260
Mingshang Yu, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15714 20th Rd, Whitestone, NY 11357 Phone: 646-867-9686

Ki Sum Fan, - Medicare Physical Therapist in Whitestone, NY