Kalane Jade Wong, MD | |
1017 2nd St, Santa Rosa, CA 95404-6608 | |
(707) 546-9800 | |
(707) 546-4112 |
Full Name | Kalane Jade Wong |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Location | 1017 2nd St, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114905494 | NPI | - | NPPES |
P01035552 | Other | RAILROAD MEDICARE | |
00G620850 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G62085 (California) | Primary |
Entity Name | Eye Care Institute A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295740991 PECOS PAC ID: 7315010766 Enrollment ID: O20080718000325 |
Mailing Address | Practice Location Address |
---|---|
Kalane Jade Wong, MD 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 Ph: (707) 546-9800 | Kalane Jade Wong, MD 1017 2nd St, Santa Rosa, CA 95404-6608 Ph: (707) 546-9800 |
Dr. Alice Chiang, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1002 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-528-7817 Fax: 707-528-1699 | |
Shalini Yalamanchi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3536 Mendocino Ave, Ste. 380, Santa Rosa, CA 95403 Phone: 707-523-7726 Fax: 707-578-0522 | |
Dr. Dan R Lightfoot, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 720 4th St, Santa Rosa, CA 95404 Phone: 707-575-3800 Fax: 707-528-4967 | |
Dr. Jesse Earl Rathbun Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1920 Grace Dr., Santa Rosa, CA 95404 Phone: 707-528-1671 | |
Dr. Denise Kayser, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403 Phone: 707-575-5353 Fax: 707-523-7733 | |
Dr. Patrick J Caskey, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403 Phone: 707-575-5353 Fax: 707-523-7729 |