Bonnie Wong, DO in Pueblo, CO - Medicare Family Medicine

Bonnie Wong, DO is a medicare enrolled "Family Medicine" physician in Pueblo, Colorado. Her current practice location is 902 Lakeview Ave, Southern Colorado Family Medicine, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 557-5872.

Bonnie Wong is licensed to practice in Colorado (license number TL-4526) 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 1437404415.

Contact Information

	Bonnie Wong, DO
	902 Lakeview Ave, Southern Colorado Family Medicine, Pueblo, CO 81004-3798
	(719) 557-5872
	Not Available

Map and Direction

Physician's Profile

Full Name	Bonnie Wong
Gender	Female
Speciality	Family Medicine
Location	902 Lakeview Ave, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437404415
Provider Enumeration Date: 07/17/2012
Last Update Date: 07/17/2012

Medicare PECOS Information:

PECOS PAC ID: 7113237918
Enrollment ID: I20230510002208

Medical Identifiers

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

Identifier	Type	State	Issuer
1437404415	NPI	-	NPPES
TL-4526	Other	CO	COLORADO TRAINING LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	TL-4526 (Colorado)	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. Bonnie Wong allows following entities to bill medicare on her behalf.

Entity Name	Southern Coos Health District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542

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. Bonnie 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
Bonnie Wong, DO 2116 Wyoming Ave, Pueblo, CO 81004-3752 Ph: (206) 999-3950	Bonnie Wong, DO 902 Lakeview Ave, Southern Colorado Family Medicine, Pueblo, CO 81004-3798 Ph: (719) 557-5872

Reviews and Comments

Family Medicine Doctors in Pueblo, CO

Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183

Bonnie Wong, DO - Medicare Family Medicine in Pueblo, CO