| Dr Godfrey E Wong, MD | |
|
1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | |
| (916) 481-0777 | |
| (916) 481-1881 |
| Full Name | Dr Godfrey E Wong |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 24 Years |
| Location | 1200 B Gale Wilson Blvd, Fairfield, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215904198 | NPI | - | NPPES |
| 4771448 | Medicaid | MI | |
| 4857874 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301085094 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | A102650 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northbay Medical Center | Fairfield, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sacsolano Anesthesia Exchange Medical Group, Inc | 9537382882 | 25 |
| Entity Name | Sacsolano Anesthesia Exchange Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720401284 PECOS PAC ID: 9537382882 Enrollment ID: O20140514001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Godfrey E Wong, MD P.o. Box 66087, Sacramento, CA 95866-0877 Ph: (916) 481-0777 | Dr Godfrey E Wong, MD 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 Ph: (916) 481-0777 |
Dr. Joseph J Dominguez, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 916-481-6800 Fax: 916-481-1881 | |
Dr. Jeffrey J Saadi, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 916-481-6800 Fax: 916-481-1881 | |
Jonathan Kim, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3000 Fax: 210-292-7868 | |
Dylan Hunter, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3102 | |
Dr. Christopher G Rumery, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1101 B Gale Wilson Blvd, Suite 307, Fairfield, CA 94533 Phone: 707-646-4666 Fax: 707-646-4669 | |
Yusuf Haroon Ahmad, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5000 |