| Carolyn Hayes Wong, MD | |
|
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | |
| (928) 537-4375 | |
| Not Available |
| Full Name | Carolyn Hayes Wong |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316203235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD2025-0565 (New Mexico) | Secondary |
| 207P00000X | Emergency Medicine | 76771 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Berkeley Emergency Medical Group Inc | 5890697536 | 40 |
| Innova Emergency Medical Associates Pc | 2860633435 | 59 |
| Entity Name | Berkeley Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508874454 PECOS PAC ID: 5890697536 Enrollment ID: O20040123000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Hayes Wong, MD 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: () - | Carolyn Hayes Wong, MD 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (928) 537-4375 |
Travis Wade Austin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-537-9581 | |
Bruce A Hall, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Philip L Johnson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Cameron Tregaskes, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6371 Fax: 928-537-2538 | |
Susan Davies, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Brent Veerman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Victor Staheli, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 |