Lolo Wong, DDS in Dallas, TX - Medicare Dentist Provider

Lolo Wong, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Dallas, Texas. His current practice location is 3302 Gaston Ave, Texas A&m/baylor College Of Dentistry, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 828-8456.

Lolo Wong is licensed to practice in Texas (license number 26344) 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 1073506960.

Contact Information

	Lolo Wong, DDS
	3302 Gaston Ave, Texas A&m/baylor College Of Dentistry, Dallas, TX 75246-2013
	(214) 828-8456
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lolo Wong
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	3302 Gaston Ave, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073506960
Provider Enumeration Date: 08/25/2005
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7315228814
Enrollment ID: I20161221000314

Medical Identifiers

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

Identifier	Type	State	Issuer
1073506960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	26344 (Texas)	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. Lolo Wong allows following entities to bill medicare on his behalf.

Entity Name	Texas Scottish Rite Hospital For Crippled Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598188948 PECOS PAC ID: 0446422844 Enrollment ID: O20140505001295

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. Lolo 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
Lolo Wong, DDS 1204 Dickinson Dr, Mckinney, TX 75071-7504 Ph: (972) 632-7915	Lolo Wong, DDS 3302 Gaston Ave, Texas A&m/baylor College Of Dentistry, Dallas, TX 75246-2013 Ph: (214) 828-8456

Reviews and Comments

Dentist in Dallas, TX

Dr. Aaron Kent Ip, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy, Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-488-1899
Dr. David M Alameel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3010 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75234 Phone: 972-444-8888 Fax: 972-243-6059
Dr. James T Spillman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6316 Gaston Ave, Dallas, TX 75214 Phone: 214-823-5253
Nicole L Benson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8620 Skillman St, Dallas, TX 75243 Phone: 214-341-0900 Fax: 214-580-5202
Dr. Brent Steven Desutter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 718 N Buckner Blvd Ste 110, Dallas, TX 75218 Phone: 214-295-8440
Courtney Cunningham Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1777 N Record St Apt 2402, Dallas, TX 75202 Phone: 806-570-0488
Dr. Tae Eun You, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 S Buckner Blvd, Ste 223, Dallas, TX 75217 Phone: 214-391-6868

Lolo Wong, DDS - Medicare Dentist in Dallas, TX