Vivian W Wong, MD in Vista, CA - Medicare Pediatrics

Vivian W Wong, MD is a medicare enrolled "Pediatrics" physician in Vista, California. Her current practice location is 1000 Vale Terrace Dr, (vista Community Clinic), Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 631-5000.

Vivian W Wong is licensed to practice in California (license number A67528) 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 1508805011.

Contact Information

	Vivian W Wong, MD
	1000 Vale Terrace Dr, (vista Community Clinic), Vista, CA 92084-5218
	(760) 631-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Vivian W Wong
Gender	Female
Speciality	Pediatrics
Location	1000 Vale Terrace Dr, Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508805011
Provider Enumeration Date: 06/06/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7012018260
Enrollment ID: I20070718000631

Medical Identifiers

Medical identifiers for Vivian W Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508805011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A67528 (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. Vivian W Wong allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Vivian 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 Address	Practice Location Address
Vivian W Wong, MD 6007 Firwood Row, La Jolla, CA 92037-0922 Ph: (858) 729-0165	Vivian W Wong, MD 1000 Vale Terrace Dr, (vista Community Clinic), Vista, CA 92084-5218 Ph: (760) 631-5000

Reviews and Comments

Pediatrics Doctors in Vista, CA

Michael D Krak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214
Lynette M Asselin, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way Ste 280, Vista, CA 92083 Phone: 760-941-3630 Fax: 760-941-1214
Nassrin Rahimi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892
Dr. Robert E Fredricks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713
Dr. Veronica L Naudin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, Suite 180, Vista, CA 92083 Phone: 760-945-3434 Fax: 760-945-6761
Yves B. Terrazas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000
Dr. Valerie Marie Michelotti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000

Vivian W Wong, MD - Medicare Pediatrics in Vista, CA