Peter Wong, is a
Community Health Worker based in Antioch, California. Peter Wong is licensed to practice in California (license number ) and his current practice location is
4714 Broomtail Ct, Antioch, California. He can be reached at his office (for appointments etc.) via phone at
(415) 859-0460.
NPI number for Peter Wong is 1467995241 and his current mailing address is 4714 Broomtail Ct, Antioch, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467995241.
Healthcare Provider's Profile
| Full Name | Peter Wong |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 4714 Broomtail Ct, Antioch, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467995241
- Provider Enumeration Date: 11/28/2016
- Last Update Date: 05/31/2023
Medical Identifiers
Medical identifiers for Peter Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467995241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 172V00000X | Community Health Worker | (California) | 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. Peter Wong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter Wong,
4714 Broomtail Ct,
Antioch, CA 94531-9305
Ph: (415) 859-0460 | Peter Wong,
4714 Broomtail Ct,
Antioch, CA 94531-9305
Ph: (415) 859-0460 |
Reviews and Comments