Jerry Wong, - Medicare Nurse Practitioner in Mill Valley, CA

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Jerry Wong, is a medicare enrolled "Nurse Practitioner - Family" in Mill Valley, California. Her current practice location is 750 Redwood Hwy Frontage Rd Ste 1210, Mill Valley, California. You can reach out to her office (for appointments etc.) via phone at (888) 663-6331.

Jerry Wong is licensed to practice in California (license number 95024472) 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 1124694377.

Contact Information

Jerry Wong,
750 Redwood Hwy Frontage Rd Ste 1210,
Mill Valley, CA 94941-2483
(888) 663-6331
Not Available

Map and Direction




Provider's Profile

Full NameJerry Wong
GenderFemale
SpecialityNurse Practitioner - Family
Location750 Redwood Hwy Frontage Rd Ste 1210, Mill Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124694377
  • Provider Enumeration Date: 05/28/2021
  • Last Update Date: 08/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123488715
  • Enrollment ID: I20230713003763

Medical Identifiers

Medical identifiers for Jerry Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124694377NPI-NPPES
95244991OtherCACALIFORNIA BOARD OF REGISTERED NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95244991 (California)Secondary
363LF0000XNurse Practitioner - Family 95024472 (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. Jerry Wong allows following entities to bill medicare on her behalf.
Entity NameOne Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467781641
PECOS PAC ID: 2567623739
Enrollment ID: O20120416000113

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. Jerry 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
Jerry Wong,
1 Embarcadero Ctr Ste 1900,
San Francisco, CA 94111-3723

Ph: () -		Jerry Wong,
750 Redwood Hwy Frontage Rd Ste 1210,
Mill Valley, CA 94941-2483

Ph: (888) 663-6331

Reviews and Comments


Nurse Practitioner Nurses in Mill Valley, CA

Susan Pauly-o'neill, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941
Phone: 415-384-4778    
Tina Marie Buoncristiani, P.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 402 Molino Ave, Mill Valley, CA 94941
Phone: 415-888-2568    
Nancy W Selix, CNM, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 957 W California Ave, Mill Valley, CA 94941
Phone: 415-497-3029    
Peggy Schwartz Chipkin, RN, NP, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 158 E Blithedale Ave Ste F, Mill Valley, CA 94941
Phone: 415-389-8589    
Sarah Allphin Hubbell, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 750 Redwood Hwy Frontage Rd Ste 1204, Mill Valley, CA 94941
Phone: 415-384-4778    
Chiara Schlegel, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 239 Miller Ave Ste 8, Mill Valley, CA 94941
Phone: 415-730-4235    
Pearl Hoi Ma Liblin, FNP, CPN, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 410 Shoreline Hwy Apt 4, Mill Valley, CA 94941
Phone: 415-320-0297    

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.