Fong Wong, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Durham, North Carolina. Her current practice location is
2400 Pratt St, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 684-8964.
Fong Wong is licensed to practice in North Carolina (license number 5016938) 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 1124749452.
Physician's Profile
| Full Name | Fong Wong |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 2400 Pratt St, Durham, North Carolina |
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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: 1124749452
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 10/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749657005
- Enrollment ID: I20221031001465
Medical Identifiers
Medical identifiers for Fong Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124749452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | 5016938 (North Carolina) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | AG06220161 (North Carolina) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 5016938 (North Carolina) | 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. Fong Wong allows following entities to bill medicare on her behalf.
| Entity Name | Duke Health Integrated Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247 |
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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. Fong 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 |
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Fong Wong, NP
652 Sealine Dr,
Cary, NC 27519-2571
Ph: () - | Fong Wong, NP
2400 Pratt St,
Durham, NC 27705-3976
Ph: (919) 684-8964 |
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