Mary Wong, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lakeway, Texas. She went to Tufts University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Scott And White Clinic and her current practice location is
100 Medical Pkwy, Lakeway, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 571-5000.
Mary Wong is licensed to practice in Texas (license number T6417) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790171106.
Physician's Profile
| Full Name | Mary Wong |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 9 Years |
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| Location | 100 Medical Pkwy, Lakeway, Texas |
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| Accepts Medicare Assignments | Yes. She 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:
- Mary Wong attended and graduated from Tufts University School Of Medicine in 2015
NPI Data:
- NPI Number: 1790171106
- Provider Enumeration Date: 04/13/2015
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062836455
- Enrollment ID: I20220609003047
Medical Identifiers
Medical identifiers for Mary Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790171106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD198522 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | T6417 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Scott And White Clinic | 8123923604 | 2143 |
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. Mary Wong allows following entities to bill medicare on her behalf.
| Entity Name | Scott & White Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640 |
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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. Mary 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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Mary Wong, MD
Po Box 844658,
Dallas, TX 75284-4658
Ph: (254) 724-2111 | Mary Wong, MD
100 Medical Pkwy,
Lakeway, TX 78738-5621
Ph: (512) 571-5000 |
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