Kaitlyn Elizabeth Ellis Wong, MD in Worcester, MA

Kaitlyn Elizabeth Ellis Wong, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 856-2138.

Kaitlyn Elizabeth Ellis Wong is licensed to practice in Massachusetts (license number 287610) 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 1790006773.

Contact Information

	Kaitlyn Elizabeth Ellis Wong, MD
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 856-2138
	(774) 443-2043

Map and Direction

Physician's Profile

Full Name	Kaitlyn Elizabeth Ellis Wong
Gender	Female
Speciality	Surgery - Pediatric Surgery
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790006773
Provider Enumeration Date: 06/14/2010
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 9436557733
Enrollment ID: I20211015002230

Medical Identifiers

Medical identifiers for Kaitlyn Elizabeth Ellis Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790006773	NPI	-	NPPES
110110902A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	287610 (Massachusetts)	Secondary
2086S0120X	Surgery - Pediatric Surgery	287610 (Massachusetts)	Primary

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. Kaitlyn Elizabeth Ellis Wong allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Kaitlyn Elizabeth Ellis 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
Kaitlyn Elizabeth Ellis Wong, MD Po Box 415348, Boston, MA 02241-5348 Ph: () -	Kaitlyn Elizabeth Ellis Wong, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 856-2138

Reviews and Comments

Surgery Doctors in Worcester, MA

Elizabeth A Mahanor, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-368-3190 Fax: 508-368-3193
Dr. Craig A Paterson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Department Of General Surgery, Worcester, MA 01605 Phone: 508-334-8195
Dr. John M Castle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Surgery, Worcester, MA 01605 Phone: 508-334-5958 Fax: 508-334-5752
Frank Traupman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655 Phone: 508-856-7559 Fax: 508-856-4224
Mary Elise Huerter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3278 Fax: 508-334-7284
Jennifer Fantasia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 083-348-7655 Fax: 508-334-9477

Kaitlyn Elizabeth Ellis Wong, MD - Medicare Surgery in Worcester, MA