Dr Bo Wang, MD, PHD is a medicare enrolled "Dermatology" physician in Aberdeen, South Dakota. His current practice location is
105 S State St Ste 202, Aberdeen, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 622-8960.
Dr Bo Wang is licensed to practice in South Dakota (license number 14265) 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 1053897892.
Physician's Profile
| Full Name | Dr Bo Wang |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Location | 105 S State St Ste 202, Aberdeen, South Dakota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1053897892
- Provider Enumeration Date: 07/16/2018
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345575213
- Enrollment ID: I20220921001065
Medical Identifiers
Medical identifiers for Dr Bo Wang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053897892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 4301507145 (Michigan) | Secondary |
| 207N00000X | Dermatology | 14265 (South Dakota) | 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. Dr Bo Wang allows following entities to bill medicare on his behalf.
| Entity Name | Regents Of The University Of Michigan |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1528097128
PECOS PAC ID: 3779496856
Enrollment ID: O20031117000318 |
|---|
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 Bo Wang 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 Bo Wang, MD, PHD
3621 S State St,
Ann Arbor, MI 48108-1633
Ph: (734) 647-5299 | Dr Bo Wang, MD, PHD
105 S State St Ste 202,
Aberdeen, SD 57401-4501
Ph: (605) 622-8960 |
Reviews and Comments