| Carolanne L Wong, PT | |
|
28 Commercial St, Concord, NH 03301-5091 | |
| (603) 225-5132 | |
| (603) 225-6061 |
| Full Name | Carolanne L Wong |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 28 Commercial St, Concord, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437169463 | NPI | - | NPPES |
| 536230 | Other | CIGNA | |
| 0805401Y0NH01 | Other | NH | ANTHEM |
| 30391168 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 2154 (New Hampshire) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolanne L Wong, PT 28 Commercial St, Concord, NH 03301-5091 Ph: (603) 225-5132 | Carolanne L Wong, PT 28 Commercial St, Concord, NH 03301-5091 Ph: (603) 225-5132 |
Dr. Jung-woo Ma, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 264 Pleasant St, Concord, NH 03301 Phone: 603-224-3368 Fax: 603-224-7815 | |
Martha S Torrey, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 28 Commercial Street, Concord, NH 03301 Phone: 603-225-5132 Fax: 603-225-6061 | |
Jessica L Mack, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 264 Pleasant St, Concord, NH 03301 Phone: 603-224-3368 Fax: 603-224-7815 | |
Erin Daley, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 31 Dominique Dr, Concord, NH 03301 Phone: 603-717-6014 | |
Margaret M Donohue, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 28 Commerical St, Concord, NH 03301 Phone: 603-225-5132 Fax: 603-225-6061 | |
Ms. Joanne Marie Mclean, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 28 Commerce Street, Concord, NH 03301 Phone: 603-225-5132 Fax: 603-225-6061 |