Carson Wong, MD is a medicare enrolled "Urology" physician in Marietta, Ohio. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice Marietta Memorial Hospital and his current practice location is
400 Matthew St Ste 303, Marietta, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 373-7828.
Carson Wong is licensed to practice in Ohio (license number 35052657) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669440814.
Physician's Profile
| Full Name | Carson Wong |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 29 Years |
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| Location | 400 Matthew St Ste 303, Marietta, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carson Wong graduated from medical school in 1995
NPI Data:
- NPI Number: 1669440814
- Provider Enumeration Date: 03/12/2006
- Last Update Date: 07/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325035363
- Enrollment ID: I20110623000186
Medical Identifiers
Medical identifiers for Carson Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669440814 | NPI | - | NPPES |
| 3154616 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 23694 (Oklahoma) | Secondary |
| 208800000X | Urology | 35052657 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Marietta Memorial Hospital | 8224928965 | 327 |
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. Carson Wong allows following entities to bill medicare on his behalf.
| Entity Name | Marietta Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215936927
PECOS PAC ID: 8224928965
Enrollment ID: O20040317000973 |
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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. Carson 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 |
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Carson Wong, MD
6900 Pearl Rd, Second Floor,
Middleburg Heights, OH 44130-3639
Ph: (440) 845-0900 | Carson Wong, MD
400 Matthew St Ste 303,
Marietta, OH 45750-1656
Ph: (740) 373-7828 |
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