Miss Stacy Tennille Wong, in New York, NY - Medicare Certified Registered Nurse Anesthetist (crna)

Miss Stacy Tennille Wong, is a medicare enrolled "Registered Nurse - Critical Care Medicine" in New York, New York. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Memorial Anesthesiology Group and her current practice location is 1275 York Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (626) 272-6042.

Miss Stacy Tennille Wong is licensed to practice in New York (license number 730127-1) 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 1063908317.

Contact Information

	Miss Stacy Tennille Wong,
	1275 York Ave, New York, NY 10065-6007
	(626) 272-6042
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Stacy Tennille Wong
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	1275 York Ave, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Stacy Tennille Wong graduated from nursing school in 2018

NPI Data:

NPI Number: 1063908317
Provider Enumeration Date: 07/10/2018
Last Update Date: 07/10/2018

Medicare PECOS Information:

PECOS PAC ID: 0840537429
Enrollment ID: I20190122001271

Medical Identifiers

Medical identifiers for Miss Stacy Tennille Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063908317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	762032 (California)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	730127-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Anesthesiology Group	8729977129	272

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. Miss Stacy Tennille Wong allows following entities to bill medicare on her behalf.

Entity Name	Memorial Anesthesiology Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467423020 PECOS PAC ID: 8729977129 Enrollment ID: O20040313000040

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. Miss Stacy Tennille 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
Miss Stacy Tennille Wong, 126 W Carter Dr, Glendora, CA 91740-5910 Ph: (626) 272-6042	Miss Stacy Tennille Wong, 1275 York Ave, New York, NY 10065-6007 Ph: (626) 272-6042

Reviews and Comments

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Miss Stacy Tennille Wong, - Medicare Certified Registered Nurse Anesthetist (crna) in New York, NY