Dr Timothy Kenji Wong, PHD - Medicare Psychologist in Santa Monica, CA

Dr Timothy Kenji Wong, PHD is a medicare enrolled "Psychologist - Clinical" provider in Santa Monica, California. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Santa Monica Therapy A Psychology Corporation and his current practice location is 3301 Ocean Park Blvd Ste 210, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 845-6720.

Dr Timothy Kenji Wong is licensed to practice in California (license number PSY28253) 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 1043588775.

Contact Information

Dr Timothy Kenji Wong, PHD
3301 Ocean Park Blvd Ste 210,
Santa Monica, CA 90405-3230
(310) 845-6720
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Timothy Kenji Wong
GenderMale
SpecialityClinical Psychologist
Experience10 Years
Location3301 Ocean Park Blvd Ste 210, Santa Monica, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Kenji Wong graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1043588775
  • Provider Enumeration Date: 12/08/2011
  • Last Update Date: 02/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7214226190
  • Enrollment ID: I20160516002417

Medical Identifiers

Medical identifiers for Dr Timothy Kenji Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043588775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY28253 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santa Monica Therapy A Psychology Corporation70122583464

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. Dr Timothy Kenji Wong allows following entities to bill medicare on his behalf.
Entity NameCenter For Bio-behavioral Science Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841465622
PECOS PAC ID: 1153494232
Enrollment ID: O20080723000172
Entity NameSanta Monica Therapy A Psychology Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962967372
PECOS PAC ID: 7012258346
Enrollment ID: O20190413000167

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. Dr Timothy Kenji 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
Dr Timothy Kenji Wong, PHD
3301 Ocean Park Blvd Ste 210,
Santa Monica, CA 90405-3230

Ph: (310) 845-6720
Dr Timothy Kenji Wong, PHD
3301 Ocean Park Blvd Ste 210,
Santa Monica, CA 90405-3230

Ph: (310) 845-6720

Reviews and Comments


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