Dr Gordon K Wong, MD, PHD, MPH is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Alhambra, California. His current practice location is
409 W Main St, Alhambra, California. You can reach out to his office (for appointments etc.) via phone at
(626) 382-1263.
Dr Gordon K Wong is licensed to practice in California (license number A71751) 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 1639345184.
Physician's Profile
| Full Name | Dr Gordon K Wong |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 409 W Main St, Alhambra, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639345184
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 03/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 6103834767
- Enrollment ID: I20081119000075
Medical Identifiers
Medical identifiers for Dr Gordon K Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639345184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A71751 (California) | Primary |
| 208D00000X | General Practice | A71751 (California) | Secondary |
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 Gordon K Wong allows following entities to bill medicare on his behalf.
| Entity Name | Kind And Total Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952577728
PECOS PAC ID: 8921167636
Enrollment ID: O20081111000178 |
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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. Dr Gordon K 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 Gordon K Wong, MD, PHD, MPH
409 W Main St,
Alhambra, CA 91801-3433
Ph: (626) 382-1263 | Dr Gordon K Wong, MD, PHD, MPH
409 W Main St,
Alhambra, CA 91801-3433
Ph: (626) 382-1263 |
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