Shelly Kwong, is a medicare enrolled "Social Worker - Clinical" provider in San Mateo, California. Her current practice location is
1950 Alameda De Las Pulgas, San Mateo, California. You can reach out to her office (for appointments etc.) via phone at
(650) 573-3571.
Shelly Kwong is licensed to practice in * (Not Available) (license number ) 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 1699058180.
Healthcare Provider's Profile
Full Name | Shelly Kwong |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1950 Alameda De Las Pulgas, San Mateo, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699058180
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597138867
- Enrollment ID: I20230307002831
Medical Identifiers
Medical identifiers for Shelly Kwong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699058180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Shelly Kwong allows following entities to bill medicare on her behalf.
Entity Name | County Of San Mateo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
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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. Shelly Kwong 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 |
Shelly Kwong, 149 Piccadilly Pl Apt A, San Bruno, CA 94066-2142 Ph: () - | Shelly Kwong, 1950 Alameda De Las Pulgas, San Mateo, CA 94403-1222 Ph: (650) 573-3571 |
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