Dr Keith Wong, MD, MS - Medicare Family Medicine in Harbor City, CA

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Dr Keith Wong, MD, MS is a medicare enrolled "Family Medicine" physician in Harbor City, California. His current practice location is 1403 Lomita Blvd, Suite 100, Harbor City, California. You can reach out to his office (for appointments etc.) via phone at (310) 534-7600.

Dr Keith Wong is licensed to practice in California (license number A145273) 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 1104200922.

Contact Information

Dr Keith Wong, MD, MS
1403 Lomita Blvd, Suite 100,
Harbor City, CA 90710-2076
(310) 534-7600
Not Available

Map and Direction




Physician's Profile

Full NameDr Keith Wong
GenderMale
SpecialityFamily Medicine
Location1403 Lomita Blvd, Harbor City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104200922
  • Provider Enumeration Date: 07/10/2015
  • Last Update Date: 03/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638412752
  • Enrollment ID: I20190513001788

Medical Identifiers

Medical identifiers for Dr Keith Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104200922NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A145273 (California)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 Keith Wong allows following entities to bill medicare on his behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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 Keith 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 AddressPractice Location Address
Dr Keith Wong, MD, MS
150 W Hedding St,
San Jose, CA 95110-1706

Ph: () -		Dr Keith Wong, MD, MS
1403 Lomita Blvd, Suite 100,
Harbor City, CA 90710-2076

Ph: (310) 534-7600

Reviews and Comments


Family Medicine Doctors in Harbor City, CA

Lynnea Wilson Morm,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1403 Lomita Blvd Ste 102, Harbor City, CA 90710
Phone: 310-534-7600    
Dr. Charles Bui, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-517-4027    
Christine Nguyen Dao, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Department Of Family Medicine, Harbor City, CA 90710
Phone: 310-325-5111    
Natalie Ting, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Dr. Elvina L Torres-campos, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1403 Lomita Blvd Ste 102, Harbor City, CA 90710
Phone: 310-534-7600    
Lisa M. Young, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Vanessa Gavin-headen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.