Lawrence B Kong, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Fontana, California. He went to Northwestern University Feinberg Medical School and graduated in 1990 and has 34 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at
(909) 427-3910.
Lawrence B Kong is licensed to practice in California (license number G75183) 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 1689741407.
Physician's Profile
| Full Name | Lawrence B Kong |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 34 Years |
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| Location | 9961 Sierra Ave, Fontana, California |
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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:
- Lawrence B Kong attended and graduated from Northwestern University Feinberg Medical School in 1990
NPI Data:
- NPI Number: 1689741407
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042245557
- Enrollment ID: I20051004000533
Medical Identifiers
Medical identifiers for Lawrence B Kong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689741407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G75183 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Lawrence B Kong allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Lawrence B Kong 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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Lawrence B Kong, MD
9961 Sierra Ave,
Fontana, CA 92335-6720
Ph: (909) 427-3910 | Lawrence B Kong, MD
9961 Sierra Ave,
Fontana, CA 92335-6720
Ph: (909) 427-3910 |
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