Dr Samantha Wong, DMD is a medicare enrolled "Dentist - General Practice" provider in Bridgeport, Pennsylvania. Her current practice location is
108 Dekalb St, Bridgeport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 278-0009.
Dr Samantha Wong is licensed to practice in Pennsylvania (license number DS035011) 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 1447229794.
Healthcare Provider's Profile
Full Name | Dr Samantha Wong |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 108 Dekalb St, Bridgeport, Pennsylvania |
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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: 1447229794
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204135346
- Enrollment ID: I20211015000045
Medical Identifiers
Medical identifiers for Dr Samantha Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447229794 | NPI | - | NPPES |
1511312 | Other | PA | UNITED CONCORDIA NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS035011 (Pennsylvania) | 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 Samantha 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 |
Dr Samantha Wong, DMD 35 Camelot Dr, Plymouth Meeting, PA 19462-2103 Ph: (610) 278-0009 | Dr Samantha Wong, DMD 108 Dekalb St, Bridgeport, PA 19405-1017 Ph: (610) 278-0009 |
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