Kin Yu Wong, DO is a medicare enrolled "Family Medicine" physician in Richwood, Texas. His current practice location is
33203 Amberjack Dr, Richwood, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 338-5067.
Kin Yu Wong is licensed to practice in Texas (license number R4796) 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 1962743229.
Physician's Profile
| Full Name | Kin Yu Wong |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 33203 Amberjack Dr, Richwood, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962743229
- Provider Enumeration Date: 03/12/2013
- Last Update Date: 10/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365703782
- Enrollment ID: I20180228000825
Medical Identifiers
Medical identifiers for Kin Yu Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962743229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R4796 (Texas) | Primary |
| 208D00000X | General Practice | 02004354A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 0116025426 (Virginia) | Secondary |
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. Kin Yu Wong allows following entities to bill medicare on his behalf.
| Entity Name | Baylor St Lukes Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740485879
PECOS PAC ID: 9133213192
Enrollment ID: O20070920000863 |
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| Entity Name | Health And Human Services Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058 |
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| Entity Name | Ark Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346811452
PECOS PAC ID: 4688044274
Enrollment ID: O20221222001291 |
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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. Kin Yu 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 |
|---|
Kin Yu Wong, DO
33203 Amberjack Dr,
Richwood, TX 77515-7111
Ph: (254) 338-5067 | Kin Yu Wong, DO
33203 Amberjack Dr,
Richwood, TX 77515-7111
Ph: (254) 338-5067 |
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