Larry T Wong, DO | |
502 N Macarthur Ave, Suite C, Panama City, FL 32401-3636 | |
(850) 215-1080 | |
(850) 215-1086 |
Full Name | Larry T Wong |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 502 N Macarthur Ave, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689641599 | NPI | - | NPPES |
48027 | Other | FL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | OS9154 (Florida) | Primary |
Entity Name | Larry T Wong Do Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376715409 PECOS PAC ID: 9830121391 Enrollment ID: O20050906000433 |
Mailing Address | Practice Location Address |
---|---|
Larry T Wong, DO 502 N Macarthur Ave, Suite C, Panama City, FL 32401-3636 Ph: (850) 215-1080 | Larry T Wong, DO 502 N Macarthur Ave, Suite C, Panama City, FL 32401-3636 Ph: (850) 215-1080 |
George Erwin Reiss, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 740 Harrison Ave, Panama City, FL 32401 Phone: 850-785-3232 Fax: 850-747-8648 | |
Dr. Raymond A Mockler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Airport Rd, Panama City, FL 32405 Phone: 850-769-7270 Fax: 850-769-7229 | |
Howell Ross Fishel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2407 Ruth Hentz Avenue, Panama City, FL 32405 Phone: 850-522-5022 Fax: 601-984-5110 | |
Dr. Norman Alex Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2407 Ruth Hentz Ave, Panama City, FL 32405 Phone: 850-522-5022 Fax: 850-387-0807 | |
Katharina Pellegrin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. Rebecca Suzanne Hysong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Dr. John J Richards, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 Jenks Ave, Panama City, FL 32401 Phone: 850-215-3000 Fax: 850-215-3150 |