Kyle Wong, DO is a medicare enrolled "Hospitalist" physician in Twin Falls, Idaho. He went to Kansas City College Of Medicine And Surgery and graduated in 2016 and has 8 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice St Lukes Clinic Llc and his current practice location is
801 Pole Line Rd W, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 814-1000.
Kyle Wong is licensed to practice in Idaho (license number O-1258) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063897395.
Physician's Profile
| Full Name | Kyle Wong |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 8 Years |
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| Location | 801 Pole Line Rd W, Twin Falls, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kyle Wong attended and graduated from Kansas City College Of Medicine And Surgery in 2016
NPI Data:
- NPI Number: 1063897395
- Provider Enumeration Date: 07/28/2015
- Last Update Date: 08/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002142874
- Enrollment ID: I20190731003598
Medical Identifiers
Medical identifiers for Kyle Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063897395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 6278 (Oklahoma) | Secondary |
| 207R00000X | Internal Medicine | 6278 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | O-1258 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Lukes Clinic Llc | 1052217478 | 274 |
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. Kyle Wong allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899 |
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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. Kyle 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 |
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Kyle Wong, DO
801 Pole Line Rd W,
Twin Falls, ID 83301-5810
Ph: () - | Kyle Wong, DO
801 Pole Line Rd W,
Twin Falls, ID 83301-5810
Ph: (208) 814-1000 |
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