Dr Bo Wang, MD, PHD is a medicare enrolled "Dermatology" physician in Aberdeen, South Dakota. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Avera Mckennan and his current practice location is
105 S State St Ste 202, Aberdeen, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 622-8960.
Dr Bo Wang is licensed to practice in South Dakota (license number 14265) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053897892.
Physician's Profile
| Full Name | Dr Bo Wang |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 7 Years |
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| Location | 105 S State St Ste 202, Aberdeen, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bo Wang graduated from medical school in 2018
NPI Data:
- NPI Number: 1053897892
- Provider Enumeration Date: 07/16/2018
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345575213
- Enrollment ID: I20230627001648
Medical Identifiers
Medical identifiers for Dr Bo Wang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053897892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 4301507145 (Michigan) | Secondary |
| 207N00000X | Dermatology | 14265 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Avera Mckennan | 0345157103 | 927 |
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. Dr Bo Wang allows following entities to bill medicare on his behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699009944
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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. Dr Bo Wang 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 |
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Dr Bo Wang, MD, PHD
3621 S State St,
Ann Arbor, MI 48108-1633
Ph: (734) 647-5299 | Dr Bo Wang, MD, PHD
105 S State St Ste 202,
Aberdeen, SD 57401-4501
Ph: (605) 622-8960 |
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