Dr Susan S Wong, MD | |
1955 W Frye Rd, Chandler, AZ 85224-6282 | |
(480) 728-3000 | |
Not Available |
Full Name | Dr Susan S Wong |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 1955 W Frye Rd, Chandler, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760440085 | NPI | - | NPPES |
893538 | Medicaid | AZ | |
P00195744 | Other | AZ | MEDICARE RR |
00A668880 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A66888 (California) | Secondary |
207L00000X | Anesthesiology | 33088 (Arizona) | Primary |
Entity Name | Anesthesia & Analgesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659320984 PECOS PAC ID: 1153316112 Enrollment ID: O20040419000685 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan S Wong, MD Po Box 6359, Mesa, AZ 85216-6359 Ph: (480) 507-2961 | Dr Susan S Wong, MD 1955 W Frye Rd, Chandler, AZ 85224-6282 Ph: (480) 728-3000 |
Dr. Khoa Dang Le, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-8000 Fax: 480-507-2971 | |
Naveen Reddy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2705 S Alma School Rd, Ste 1, Chandler, AZ 85286 Phone: 480-820-7246 Fax: 480-897-7246 | |
Dr. David G. Ray, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 S Dobson Rd Ste 205, Chandler, AZ 85224 Phone: 480-563-6400 Fax: 480-563-8009 | |
Dr. David Wesley Herbert, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3195 W Ray Rd Ste 1, Chandler, AZ 85226 Phone: 480-756-6789 Fax: 480-246-8902 | |
Scott E Pendleton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 | |
Terry Ambus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 | |
John E Goodpasture Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 Fax: 480-507-2971 |