Ms Lily W Wong, DO - Medicare Internal Medicine in Las Vegas, NV

Ms Lily W Wong, DO is a medicare enrolled "Internal Medicine" physician in Las Vegas, Nevada. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Medical Foundation and her current practice location is 620 Shadow Ln, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 388-4512.

Ms Lily W Wong is licensed to practice in Nevada (license number DO2018) 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 1669733812.

Contact Information

Ms Lily W Wong, DO
620 Shadow Ln,
Las Vegas, NV 89106-4119
(702) 388-4512
(702) 388-8431

Map and Direction




Physician's Profile

Full NameMs Lily W Wong
GenderFemale
SpecialityInternal Medicine
Experience12 Years
Location620 Shadow Ln, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Lily W Wong graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1669733812
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 05/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991022071
  • Enrollment ID: I20160606002106

Medical Identifiers

Medical identifiers for Ms Lily W Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669733812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DO2018 (Nevada)Primary
208M00000XHospitalist DO2018 (Nevada)Secondary
207R00000XInternal Medicine 20A14577 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalOrange, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312

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. Ms Lily W Wong allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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. Ms Lily W 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 AddressPractice Location Address
Ms Lily W Wong, DO
620 Shadow Ln,
Las Vegas, NV 89106-4119

Ph: () -
Ms Lily W Wong, DO
620 Shadow Ln,
Las Vegas, NV 89106-4119

Ph: (702) 388-4512

Reviews and Comments


Internal Medicine Doctors in Las Vegas, NV

Dr. Arshi A. Quadeer, MD
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Michael M Lee, MD
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Henry Palangdao Igid, MD
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Ian Adrian Fanoga Frani, M.D.
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Phone: 702-383-2000    Fax: 702-383-3875
Nisha Ajay Patel, MD
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Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102
Phone: 803-729-0793    
Sein Tun, DO
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Medicare: Medicare Enrolled
Practice Location: 620 Shadow Ln, Las Vegas, NV 89106
Phone: 702-388-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.