Deen L Wong, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Kealakekua, Hawaii. His current practice location is
79-1019 Haukapila St, Kealakekua, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 322-9366.
Deen L Wong is licensed to practice in Hawaii (license number MD4676) 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 1376621334.
Physician's Profile
| Full Name | Deen L Wong |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 79-1019 Haukapila St, Kealakekua, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376621334
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 6204720170
- Enrollment ID: I20110421000300
Medical Identifiers
Medical identifiers for Deen L Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376621334 | NPI | - | NPPES |
| MD4676 | Other | HI | QUEENS |
| 1407901 | Medicaid | HI | |
| 990280549 | Other | HI | HMAA |
| A14983 | Other | HI | HMSA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZB0001X | Pathology - Blood Banking & Transfusion Medicine | MD4676 (Hawaii) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD4676 (Hawaii) | 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. Deen L Wong allows following entities to bill medicare on his behalf.
| Entity Name | Pan Pacific Pathologists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962479360
PECOS PAC ID: 0941190474
Enrollment ID: O20040318000547 |
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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. Deen L 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 |
|---|
Deen L Wong, MD
Po Box 652,
Kealakekua, HI 96750-0652
Ph: (808) 322-9366 | Deen L Wong, MD
79-1019 Haukapila St,
Kealakekua, HI 96750-7920
Ph: (808) 322-9366 |
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