Dustin Wong, DO in Fontana, CA - Medicare Psychiatry & Neurology

Dustin Wong, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fontana, California. His current practice location is 17234 Valley Blvd, Building A, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-5679.

Dustin Wong is licensed to practice in California (license number 20A22709) 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 1518549328.

Contact Information

	Dustin Wong, DO
	17234 Valley Blvd, Building A, Fontana, CA 92335
	(909) 427-5679
	Not Available

Map and Direction

Physician's Profile

Full Name	Dustin Wong
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	17234 Valley Blvd, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518549328
Provider Enumeration Date: 04/22/2021
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2961811492
Enrollment ID: I20231218004252

Medical Identifiers

Medical identifiers for Dustin Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518549328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	20A22709 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	20A22709 (California)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	OT020545 (Pennsylvania)	Secondary

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. Dustin Wong allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Eastern Pennsylvania Physician Alliance, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902440621 PECOS PAC ID: 8325478662 Enrollment ID: O20200428001935

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. Dustin 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
Dustin Wong, DO 17234 Valley Blvd, Building A, Fontana, CA 92335 Ph: (909) 427-5679	Dustin Wong, DO 17234 Valley Blvd, Building A, Fontana, CA 92335 Ph: (909) 427-5679

Reviews and Comments

Psychiatry & Neurology Doctors in Fontana, CA

Neeta C. Saheba, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Thomas C. Miller, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Yujian Guo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave, Mob-2, Basement, Fontana, CA 92335 Phone: 909-427-5000
Laura R. West, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Kamal Preet Dhawan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Sharilee Ann Bryant, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17216 Slover Ave, Ste L, Fontana, CA 92337 Phone: 909-854-3420
Catalina C. Lim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Dustin Wong, DO - Medicare Psychiatry & Neurology in Fontana, CA