Fred Ande Rong, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Seattle, Washington. His current practice location is
1959 Ne Pacific Street Hsb Room B 241, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 543-7496.
Fred Ande Rong is licensed to practice in Washington (license number DR61427419) 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 1275123481.
Healthcare Provider's Profile
Full Name | Fred Ande Rong |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1959 Ne Pacific Street Hsb Room B 241, Seattle, Washington |
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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: 1275123481
- Provider Enumeration Date: 01/21/2021
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587024229
- Enrollment ID: I20230713001317
Medical Identifiers
Medical identifiers for Fred Ande Rong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275123481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 7671 (Nebraska) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DR61427419 (Washington) | 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. Fred Ande Rong 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 |
Fred Ande Rong, DDS 16997 Frank Ave, Los Gatos, CA 95032-3453 Ph: (408) 439-4601 | Fred Ande Rong, DDS 1959 Ne Pacific Street Hsb Room B 241, Seattle, WA 98195-1300 Ph: (206) 543-7496 |
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