Elisabeth Anne Wong, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is
60 Fenwood Rd, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 732-7144.
Elisabeth Anne Wong is licensed to practice in Connecticut (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972093276.
Physician's Profile
Full Name | Elisabeth Anne Wong |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 60 Fenwood Rd, Boston, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972093276
- Provider Enumeration Date: 05/14/2018
- Last Update Date: 06/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183979552
- Enrollment ID: I20180626003117
Medical Identifiers
Medical identifiers for Elisabeth Anne Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972093276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 3016010 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Connecticut) | Primary |
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. Elisabeth Anne 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 |
Elisabeth Anne Wong, 60 Fenwood Rd, Boston, MA 02115-6128 Ph: (617) 732-7144 | Elisabeth Anne Wong, 60 Fenwood Rd, Boston, MA 02115-6128 Ph: (617) 732-7144 |
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