Brian Wong, MD in South Pasadena, CA

Brian Wong, MD is a medicare enrolled "Pediatrics - Neurodevelopmental Disabilities" physician in South Pasadena, California. His current practice location is 425 Fair Oaks Ave, Ste 175, South Pasadena, California. You can reach out to his office (for appointments etc.) via phone at (626) 598-3770.

Brian Wong is licensed to practice in California (license number D3966870) 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 1053706267.

Contact Information

	Brian Wong, MD
	425 Fair Oaks Ave, Ste 175, South Pasadena, CA 91030
	(626) 598-3770
	(626) 598-3797

Map and Direction

Physician's Profile

Full Name	Brian Wong
Gender	Male
Speciality	Pediatrics - Neurodevelopmental Disabilities
Location	425 Fair Oaks Ave, South Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053706267
Provider Enumeration Date: 04/03/2015
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2567833767
Enrollment ID: I20230126001654

Medical Identifiers

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

Identifier	Type	State	Issuer
1053706267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0008X	Pediatrics - Neurodevelopmental Disabilities	D3966870 (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. Brian Wong allows following entities to bill medicare on his behalf.

Entity Name	West Coast Neurology, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467897322 PECOS PAC ID: 6204067010 Enrollment ID: O20140320000094

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. Brian 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
Brian Wong, MD 630 S Raymond Ave Unit 310, Pasadena, CA 91105-3206 Ph: (626) 598-3770	Brian Wong, MD 425 Fair Oaks Ave, Ste 175, South Pasadena, CA 91030 Ph: (626) 598-3770

Reviews and Comments

Pediatrics Doctors in South Pasadena, CA

Harry Max Lieberman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1944 Milan Ave, South Pasadena, CA 91030 Phone: 626-487-9310 Fax: 626-441-3159
Norianne Martinez Pimentel-piatt, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 625 Fair Oaks Ave Ste 175, South Pasadena, CA 91030 Phone: 626-598-3770
Sandra Gildersleeve, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1941 Huntington Dr Ste C, South Pasadena, CA 91030 Phone: 626-514-0315

Brian Wong, MD - Medicare Pediatrics in South Pasadena, CA