Dr Dong Fang Zhao, MD in Grosse Pointe Park, MI - Medicare General Practice

Dr Dong Fang Zhao, MD is a medicare enrolled "General Practice" physician in Grosse Pointe Park, Michigan. His current practice location is 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 322-7952.

Dr Dong Fang Zhao is licensed to practice in Michigan (license number 4301505594) 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 1245895606.

Contact Information

	Dr Dong Fang Zhao, MD
	15001 Kercheval Ave Pmb 502, Grosse Pointe Park, MI 48230-1361
	(810) 322-7952
	Not Available

Physician's Profile

Full Name	Dr Dong Fang Zhao
Gender	Male
Speciality	General Practice
Location	15001 Kercheval Ave Pmb 502, Grosse Pointe Park, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245895606
Provider Enumeration Date: 05/01/2019
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 4688001019
Enrollment ID: I20200225001963

Medical Identifiers

Medical identifiers for Dr Dong Fang Zhao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245895606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	4301505594 (Michigan)	Primary

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 Dong Fang Zhao 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
Dr Dong Fang Zhao, MD 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, MI 48230-1361 Ph: (810) 322-7952	Dr Dong Fang Zhao, MD 15001 Kercheval Ave Pmb 502, Grosse Pointe Park, MI 48230-1361 Ph: (810) 322-7952

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Dr Dong Fang Zhao, MD - Medicare General Practice in Grosse Pointe Park, MI