Timothy Wong, LMFT in Tracy, CA - Medicare Marriage & Family Therapist Provider

Timothy Wong, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Tracy, California. His current practice location is 2185 W Grant Line Rd, Tracy, California. You can reach out to his office (for appointments etc.) via phone at (209) 839-3200.

Timothy Wong is licensed to practice in California (license number 80325) 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 1093970618.

Contact Information

	Timothy Wong, LMFT
	2185 W Grant Line Rd, Tracy, CA 95377-7309
	(209) 839-3200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Wong
Gender	Male
Speciality	Marriage & Family Therapist
Location	2185 W Grant Line Rd, Tracy, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093970618
Provider Enumeration Date: 07/23/2008
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9133570187
Enrollment ID: I20240104000368

Medical Identifiers

Medical identifiers for Timothy Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093970618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	80325 (California)	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. Timothy Wong allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Timothy Wong 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
Timothy Wong, LMFT 2185 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 839-3200	Timothy Wong, LMFT 2185 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 839-3200

Reviews and Comments

Marriage & Family Therapist in Tracy, CA

Mrs. Dana Marie Pinnelli, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 E 6th St, Tracy, CA 95376 Phone: 209-835-8583
Karen Jennifer Mccrary, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2180 W Grant Line Rd Ste 218, Tracy, CA 95377 Phone: 925-980-5735
Patricia Guerrero, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1660 W Linne Rd # J-23, Tracy, CA 95377 Phone: 209-640-1892 Fax: 209-221-7029
Sirsey Martinez, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1175 W 11th St, Tracy, CA 95376 Phone: 209-814-5251
Sherrill Susan Summers-williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1660 W Linne Rd Ste J9, Tracy, CA 95377 Phone: 209-835-0185 Fax: 209-835-0459
Ms. Stacie Clark, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 E 6th St, Tracy, CA 95376 Phone: 209-835-8583 Fax: 209-956-4245

Timothy Wong, LMFT - Medicare Couples Therapy in Tracy, CA