Carol Wong, is a medicare enrolled "Dietitian, Registered" provider in Wildomar, California. Her current practice location is
36320 Inland Valley Dr Ste 301, Wildomar, California. You can reach out to her office (for appointments etc.) via phone at
(951) 447-8826.
Carol Wong is licensed to practice in * (Not Available) (license number ) 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 1205459658.
Healthcare Provider's Profile
Full Name | Carol Wong |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 36320 Inland Valley Dr Ste 301, Wildomar, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205459658
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 05/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799224077
- Enrollment ID: I20240830000785
Medical Identifiers
Medical identifiers for Carol Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205459658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Carol Wong allows following entities to bill medicare on her behalf.
Provider Name | Jalapeno Health Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1295400851 PECOS PAC ID: 4880133164 Enrollment ID: O20240830000724 |
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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. Carol 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 |
Carol Wong, 30983 Putter Cir, Temecula, CA 92591-3922 Ph: (510) 364-9794 | Carol Wong, 36320 Inland Valley Dr Ste 301, Wildomar, CA 92595-7512 Ph: (951) 447-8826 |
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