Dr Nelson Kirk Wong, MD is a medicare enrolled "Family Medicine" physician in Cairo, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physician Services Corporation Of Southern Illinois Inc and his current practice location is
13245 Kessler Rd, Cairo, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 734-4400.
Dr Nelson Kirk Wong is licensed to practice in Illinois (license number 036106344) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578563854.
Physician's Profile
| Full Name | Dr Nelson Kirk Wong |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 13245 Kessler Rd, Cairo, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nelson Kirk Wong attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1999
NPI Data:
- NPI Number: 1578563854
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 10/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507998705
- Enrollment ID: I20100723000675
Medical Identifiers
Medical identifiers for Dr Nelson Kirk Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578563854 | NPI | - | NPPES |
| 036106344 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036106344 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
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 Nelson Kirk Wong allows following entities to bill medicare on his behalf.
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583 |
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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 Nelson Kirk 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 |
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Dr Nelson Kirk Wong, MD
Po Box 3008,
Carbondale, IL 62902-3008
Ph: (618) 457-0450 | Dr Nelson Kirk Wong, MD
13245 Kessler Rd,
Cairo, IL 62914-3101
Ph: (618) 734-4400 |
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