Shirley Fong, MD in Fontana, CA - Medicare Obstetrics & Gynecology

Shirley Fong, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in Fontana, California. Her current practice location is 9985 Sierra Ave, Kaiser Permanente, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-5711.

Shirley Fong is licensed to practice in California (license number A90666) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912935826.

Contact Information

	Shirley Fong, MD
	9985 Sierra Ave, Kaiser Permanente, Fontana, CA 92335-6720
	(909) 427-5711
	Not Available

Map and Direction

Physician's Profile

Full Name	Shirley Fong
Gender	Female
Speciality	Obstetrics & Gynecology - Reproductive Endocrinology
Location	9985 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912935826
Provider Enumeration Date: 06/29/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3375562283
Enrollment ID: I20071017000815

Medical Identifiers

Medical identifiers for Shirley Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912935826	NPI	-	NPPES
2570574	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VE0102X	Obstetrics & Gynecology - Reproductive Endocrinology	224420 (New York)	Secondary
207VE0102X	Obstetrics & Gynecology - Reproductive Endocrinology	25MA07509000 (New Jersey)	Secondary
207VE0102X	Obstetrics & Gynecology - Reproductive Endocrinology	A90666 (California)	Primary

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. Shirley Fong allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Shirley Fong 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
Shirley Fong, MD 9985 Sierra Ave, Kaiser Permanente, Fontana, CA 92335-6720 Ph: (909) 427-5711	Shirley Fong, MD 9985 Sierra Ave, Kaiser Permanente, Fontana, CA 92335-6720 Ph: (909) 427-5711

Reviews and Comments

Obstetrics & Gynecology Doctors in Fontana, CA

Suzanne Cao, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6538
Amy W Zhai, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana Medical Ctr, Dept Of Ob/gyn, Fontana, CA 92335 Phone: 909-427-5279
Dr. Erica Chia-chi Medina, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 833-574-2273
Norry E. Huffman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Jessica Boksberger Iskander, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4377
Robert G. Pretorius, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Stephen Cheng-wen Chao, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8110 Mango Ave Ste 106, Fontana, CA 92335 Phone: 909-266-0090

Shirley Fong, MD - Medicare Obstetrics & Gynecology in Fontana, CA