Jonathan Yin-jeong Wong, DO | |
5249 E Terrace Dr, Madison, WI 53718-8339 | |
(608) 263-6420 | |
(608) 890-7107 |
Full Name | Jonathan Yin-jeong Wong |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 5249 E Terrace Dr, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174935019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 69057 (Wisconsin) | Primary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | 009032 (Arizona) | Secondary |
Entity Name | Children's Clinics For Rehabilitative Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063454346 PECOS PAC ID: 2264503408 Enrollment ID: O20080617000099 |
Mailing Address | Practice Location Address |
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Jonathan Yin-jeong Wong, DO 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Jonathan Yin-jeong Wong, DO 5249 E Terrace Dr, Madison, WI 53718-8339 Ph: (608) 263-6420 |
Dr. Emily Ann Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Daniel J Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Csc Box 9988, Madison, WI 53792 Phone: 608-239-3515 | |
Dr. Elma O Sia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4410 Regent St, Madison, WI 53705 Phone: 608-233-9746 | |
Patricia V Staats, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1217 Gilbert Rd, Madison, WI 53711 Phone: 608-274-3636 | |
Michael W Ritter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7610 Sawmill Rd, Madison, WI 53717 Phone: 608-831-1528 | |
Dr. Jesse Roach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6420 | |
Norris Glick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 317 Knutson Drive, Madison, WI 53704 Phone: 608-301-1791 |