Winnifred Wong, DO in Travis Afb, CA

Winnifred Wong, DO is a medicare enrolled "Radiology - Radiation Oncology" physician in Travis Afb, California. Her current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-7691.

Winnifred Wong is licensed to practice in Washington (license number OP60363886) 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 1144554148.

Contact Information

	Winnifred Wong, DO
	101 Bodin Cir, Travis Afb, CA 94535
	(707) 423-7691
	Not Available

Map and Direction

Physician's Profile

Full Name	Winnifred Wong
Gender	Female
Speciality	Radiology - Radiation Oncology
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144554148
Provider Enumeration Date: 09/23/2009
Last Update Date: 08/01/2019

Medicare PECOS Information:

PECOS PAC ID: 4385913573
Enrollment ID: I20230725002555

Medical Identifiers

Medical identifiers for Winnifred Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144554148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	OP60363886 (Washington)	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. Winnifred Wong allows following entities to bill medicare on her behalf.

Entity Name	Mid-columbia Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244

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. Winnifred 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
Winnifred Wong, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7691	Winnifred Wong, DO 101 Bodin Cir, Travis Afb, CA 94535 Ph: (707) 423-7691

Reviews and Comments

Radiology Doctors in Travis Afb, CA

Dr. Teddy Jinnteh Su, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181
Dr. Zoltan A. Varro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Lance Dustin Edmonds, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119

Winnifred Wong, DO - Medicare Radiology in Travis Afb, CA