Kenneth Kan Tin Wong, MD in Los Angeles, CA

Kenneth Kan Tin Wong, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Los Angeles, California. His current practice location is 1441 Eastlake Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 865-3050.

Kenneth Kan Tin Wong is licensed to practice in California (license number A70448) 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 1184628695.

Contact Information

	Kenneth Kan Tin Wong, MD
	1441 Eastlake Ave, Los Angeles, CA 90089-0112
	(323) 865-3050
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth Kan Tin Wong
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	1441 Eastlake Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184628695
Provider Enumeration Date: 06/13/2005
Last Update Date: 03/08/2016

Medicare PECOS Information:

PECOS PAC ID: 8426037185
Enrollment ID: I20040715001331

Medical Identifiers

Medical identifiers for Kenneth Kan Tin Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184628695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	A70448 (California)	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. Kenneth Kan Tin Wong allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Kenneth Kan Tin 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
Kenneth Kan Tin Wong, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 865-3050	Kenneth Kan Tin Wong, MD 1441 Eastlake Ave, Los Angeles, CA 90089-0112 Ph: (323) 865-3050

Reviews and Comments

Radiology Doctors in Los Angeles, CA

Doron Ben Avi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459
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Dr. Lloyd Edward Greaser Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Department Of Radiology, Los Angeles, CA 90095 Phone: 310-825-4321
Dr. Hanako Yamauchi Farol, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-7571
Siamak Dardashti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1516 Cotner Ave, Los Angeles, CA 90025 Phone: 310-445-2951 Fax: 310-479-1459

Kenneth Kan Tin Wong, MD - Medicare Radiology in Los Angeles, CA