Dr Lena Wong, MD | |
167 North Main Streer, Tuba City, AZ 86045-0600 | |
(928) 283-2063 | |
Not Available |
Full Name | Dr Lena Wong |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 167 North Main Streer, Tuba City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013206796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD455598 (Pennsylvania) | Primary |
208000000X | Pediatrics | MD455598 (Pennsylvania) | Secondary |
Entity Name | Tuba City Regional Health Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
Mailing Address | Practice Location Address |
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Dr Lena Wong, MD Po Box 600, 167 North Main St, Tuba City, AZ 86045-0600 Ph: () - | Dr Lena Wong, MD 167 North Main Streer, Tuba City, AZ 86045-0600 Ph: (928) 283-2063 |
Karen Yin-chieh Jong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Henry John Leonard Van Dyk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Frank Eckhard Dalichow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Bernice Q. Ly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Yuriy Y Vinokur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Benjamin Thomas Gandesbery, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 167 North Main St, Tuba City, AZ 86045 Phone: 866-976-5941 |