Jonathan Randall Wong, PT, DPT in Santa Clara, CA - Medicare Physical Therapy Provider

Jonathan Randall Wong, PT, DPT is a medicare enrolled "Physical Therapist" provider in Santa Clara, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ewa Beach Physical Therapy Llc and his current practice location is 710 Lawrence Expy Dept 174, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 851-1400.

Jonathan Randall Wong is licensed to practice in California (license number 295409) 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 1487134342.

Contact Information

	Jonathan Randall Wong, PT, DPT
	710 Lawrence Expy Dept 174, Santa Clara, CA 95051-5173
	(408) 851-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Randall Wong
Gender	Male
Speciality	Physical Therapy
Experience	6 Years
Location	710 Lawrence Expy Dept 174, Santa Clara, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Randall Wong graduated from medical school in 2018

NPI Data:

NPI Number: 1487134342
Provider Enumeration Date: 08/20/2018
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 8224376942
Enrollment ID: I20200128000783

Medical Identifiers

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

Identifier	Type	State	Issuer
1487134342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	295409 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ewa Beach Physical Therapy Llc	5294716668	3

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. Jonathan Randall Wong allows following entities to bill medicare on his behalf.

Provider Name	Ewa Beach Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467580712 PECOS PAC ID: 5294716668 Enrollment ID: O20101229000908

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. Jonathan Randall 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
Jonathan Randall Wong, PT, DPT 4330 Alpine Rd, Portola Valley, CA 94028-7928 Ph: (650) 678-5868	Jonathan Randall Wong, PT, DPT 710 Lawrence Expy Dept 174, Santa Clara, CA 95051-5173 Ph: (408) 851-1400

Reviews and Comments

Physical Therapist in Santa Clara, CA

Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861
Brooke Noelle Strishock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400

Jonathan Randall Wong, PT, DPT - Medicare Physical Therapist in Santa Clara, CA