Ryan Wong, PHD is a medicare enrolled "Psychologist" provider in Grand Terrace, California. His current practice location is
11980 Mount Vernon Ave, Grand Terrace, California. You can reach out to his office (for appointments etc.) via phone at
(909) 864-1097.
Ryan Wong is licensed to practice in California (license number PSB94027197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457068892.
Healthcare Provider's Profile
| Full Name | Ryan Wong |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 11980 Mount Vernon Ave, Grand Terrace, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1457068892
- Provider Enumeration Date: 11/04/2022
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668904160
- Enrollment ID: I20241022000116
Medical Identifiers
Medical identifiers for Ryan Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457068892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSB94027197 (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. Ryan Wong allows following entities to bill medicare on his behalf.
| Entity Name | Riverside-san Bernardino County Indian Health Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1174676670
PECOS PAC ID: 4789867805
Enrollment ID: O20150508001121 |
|---|
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. Ryan 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 |
|---|
Ryan Wong, PHD
221 N Vega St,
Alhambra, CA 91801-2841
Ph: (626) 643-8326 | Ryan Wong, PHD
11980 Mount Vernon Ave,
Grand Terrace, CA 92313-5172
Ph: (909) 864-1097 |
Reviews and Comments