Wan Wang, is a medicare enrolled "Optometrist" provider in Cedar Bluff, Virginia. Her current practice location is
2308 Cedar Valley Dr, Cedar Bluff, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 964-4171.
Wan Wang is licensed to practice in Virginia (license number PENDING) 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 1518747609.
Healthcare Provider's Profile
| Full Name | Wan Wang |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 2308 Cedar Valley Dr, Cedar Bluff, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518747609
- Provider Enumeration Date: 10/05/2023
- Last Update Date: 10/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799131157
- Enrollment ID: I20231023000244
Medical Identifiers
Medical identifiers for Wan Wang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518747609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | PENDING (Virginia) | 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. Wan Wang allows following entities to bill medicare on her behalf.
| Provider Name | Envision Professional Group Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427155472
PECOS PAC ID: 5799040184
Enrollment ID: O20180606001633 |
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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. Wan Wang 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 |
|---|
Wan Wang,
1020 Terrace Dr Ste 100,
Marion, VA 24354-4392
Ph: (276) 783-5157 | Wan Wang,
2308 Cedar Valley Dr,
Cedar Bluff, VA 24609-9302
Ph: (276) 964-4171 |
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