Carmen Wong, NP in New York, NY - Medicare Nurse Practitioner

Carmen Wong, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. Her current practice location is 104 W 40th St Ste 416, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 369-6757.

Carmen Wong is licensed to practice in New York (license number 404821) 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 1134829302.

Contact Information

	Carmen Wong, NP
	104 W 40th St Ste 416, New York, NY 10018-3617
	(212) 369-6757
	Not Available

Map and Direction

Provider's Profile

Full Name	Carmen Wong
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	104 W 40th St Ste 416, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134829302
Provider Enumeration Date: 03/07/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7618339771
Enrollment ID: I20230822001137

Medical Identifiers

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

Identifier	Type	State	Issuer
1134829302	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404821 (New York)	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. Carmen Wong allows following entities to bill medicare on her behalf.

Entity Name	Revived Soul Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821389941 PECOS PAC ID: 0749466266 Enrollment ID: O20110518000539

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. Carmen 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
Carmen Wong, NP 104 West 4th Street, New York, NY 10014 Ph: () -	Carmen Wong, NP 104 W 40th St Ste 416, New York, NY 10018-3617 Ph: (212) 369-6757

Reviews and Comments

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Carmen Wong, NP - Medicare Nurse Practitioner in New York, NY