Dr Brian Russell Wong, DDS in Covina, CA - Medicare Dentist Provider

Dr Brian Russell Wong, DDS is a medicare enrolled "Dentist" provider in Covina, California. His current practice location is 233 W Badillo St Ste C, Covina, California. You can reach out to his office (for appointments etc.) via phone at (626) 332-5911.

Dr Brian Russell Wong is licensed to practice in California (license number 39577) 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 1053456822.

Contact Information

	Dr Brian Russell Wong, DDS
	233 W Badillo St Ste C, Covina, CA 91723-1966
	(626) 332-5911
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brian Russell Wong
Gender	Male
Speciality	Dentist
Location	233 W Badillo St Ste C, Covina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053456822
Provider Enumeration Date: 02/20/2007
Last Update Date: 05/01/2014

Medicare PECOS Information:

PECOS PAC ID: 1052626504
Enrollment ID: I20150813009850

Medical Identifiers

Medical identifiers for Dr Brian Russell Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053456822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	39577 (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. Dr Brian Russell Wong allows following entities to bill medicare on his behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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 Brian Russell 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
Dr Brian Russell Wong, DDS 233 W Badillo St Ste C, Covina, CA 91723-1966 Ph: (626) 332-5911	Dr Brian Russell Wong, DDS 233 W Badillo St Ste C, Covina, CA 91723-1966 Ph: (626) 332-5911

Reviews and Comments

Dentist in Covina, CA

Dr. Dulguun Rosie Erdenebileg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 626 S 2nd Ave, Covina, CA 91723 Phone: 626-709-3332
Dr. Sanford B. King, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 219 E Badillo St, Covina, CA 91723 Phone: 626-966-9971 Fax: 626-966-9534
Miss Veronica Gonzalez, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 560 W Badillo St, Covina, CA 91722 Phone: 626-331-0506
Richard Martin Cohrs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 554 West Badillo Street, Covina, CA 91722 Phone: 626-339-4003 Fax: 626-339-7751
Dr. Elva Dolores Maldonado, DDS Dentist Medicare: Medicare Enrolled Practice Location: 151 W College St, Covina, CA 91723 Phone: 626-332-2550 Fax: 626-339-1933
Dr. Ralph Jerry Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 236 W Badillo St, Covina, CA 91723 Phone: 626-339-7300 Fax: 626-339-4540

Dr Brian Russell Wong, DDS - Medicare Dentist in Covina, CA