Shannon M Wong, MD is a medicare enrolled "Ophthalmology" provider in Austin, Texas. His current practice location is
11901 Jollyville Rd, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at
(572) 250-2020.
Shannon M Wong is licensed to practice in Texas (license number J6050) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497753040.
Healthcare Provider's Profile
Full Name | Shannon M Wong |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 11901 Jollyville Rd, Austin, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon M Wong attended and graduated from in
NPI Data:
- NPI Number: 1497753040
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shannon M Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497753040 | NPI | - | NPPES |
038163401 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | J6050 (Texas) | Secondary |
207W00000X | Ophthalmology | J6050 (Texas) | Primary |
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. Shannon M 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 |
Shannon M Wong, MD 11901 Jollyville Rd, Austin, TX 78759-2303 Ph: (512) 250-2020 | Shannon M Wong, MD 11901 Jollyville Rd, Austin, TX 78759-2303 Ph: (572) 250-2020 |
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