Dr David Guannan Li, MD, MBA - Medicare General Practice in Brockton, MA

Dr David Guannan Li, MD, MBA is a medicare enrolled "General Practice" physician in Brockton, Massachusetts. His current practice location is 680 Centre St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (909) 762-8372.

Dr David Guannan Li is licensed to practice in Massachusetts (license number 1770504599) 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 1891355186.

Contact Information

Dr David Guannan Li, MD, MBA
680 Centre St,
Brockton, MA 02302-3308
(909) 762-8372
Not Available



Physician's Profile

Full NameDr David Guannan Li
GenderMale
SpecialityGeneral Practice
Location680 Centre St, Brockton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891355186
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 06/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496087371
  • Enrollment ID: I20230622000772

Medical Identifiers

Medical identifiers for Dr David Guannan Li such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891355186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 1770504599 (Massachusetts)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. Dr David Guannan Li allows following entities to bill medicare on his behalf.
Entity NameBoston Dermatology And Laser Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215963574
PECOS PAC ID: 0941271407
Enrollment ID: O20040805001451

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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. Dr David Guannan Li 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
Dr David Guannan Li, MD, MBA
32 Queensberry St Apt 12a,
Boston, MA 02215-5260

Ph: (909) 762-8372
Dr David Guannan Li, MD, MBA
680 Centre St,
Brockton, MA 02302-3308

Ph: (909) 762-8372

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General Practice Doctors in Brockton, MA

John W Thompson Jr., MD
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 235 N Pearl St, Brockton, MA 02301
Phone: 508-427-3741    Fax: 508-427-3991
Jason Lou,
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Medicare: Medicare Enrolled
Practice Location: 110 Liberty St, Brockton, MA 02301
Phone: 508-565-3055    
Warren Russell Nickerson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1 Pearl St, Brockton, MA 02301
Phone: 508-584-4107    

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