Dr Jin Yuan Wang, MD is a medicare enrolled "General Practice" physician in Manitowoc, Wisconsin. His current practice location is
1650 S 41st St, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 320-2436.
Dr Jin Yuan Wang is licensed to practice in Wisconsin (license number 82010) 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 1396372850.
Physician's Profile
Full Name | Dr Jin Yuan Wang |
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Gender | Male |
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Speciality | General Practice |
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Location | 1650 S 41st St, Manitowoc, Wisconsin |
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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: 1396372850
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254794548
- Enrollment ID: I20230905001885
Medical Identifiers
Medical identifiers for Dr Jin Yuan Wang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396372850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 82010 (Wisconsin) | 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 Jin Yuan Wang allows following entities to bill medicare on his behalf.
Entity Name | Froedtert Manitowoc Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
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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 Jin Yuan 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 Jin Yuan Wang, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-2436 | Dr Jin Yuan Wang, MD 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-2436 |
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