Matthew Bryan Fong, MD in San Bernardino, CA

Matthew Bryan Fong, MD is a medicare enrolled "Pediatrics" physician in San Bernardino, California. His current practice location is 250 S G St, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 382-7100.

Matthew Bryan Fong is licensed to practice in California (license number A113013) 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 1346412244.

Contact Information

	Matthew Bryan Fong, MD
	250 S G St, San Bernardino, CA 92410-3320
	(909) 382-7100
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Bryan Fong
Gender	Male
Speciality	Pediatrics
Location	250 S G St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346412244
Provider Enumeration Date: 03/31/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7315117157
Enrollment ID: I20110902000351

Medical Identifiers

Medical identifiers for Matthew Bryan Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346412244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A113013 (California)	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. Matthew Bryan Fong allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

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. Matthew Bryan Fong 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
Matthew Bryan Fong, MD Coleman Pavilion, Room A1121, 11175 Campus Street, Loma Linda, CA 92350 Ph: (909) 558-8142	Matthew Bryan Fong, MD 250 S G St, San Bernardino, CA 92410-3320 Ph: (909) 382-7100

Reviews and Comments

Pediatrics Doctors in San Bernardino, CA

Dr. Kofi Adade-boafo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404 Phone: 909-887-7951 Fax: 909-883-1634
Dr. Irene Styadi Tsai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408 Phone: 909-890-0407
Swapna S. Kudtarkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 E Highland Ave Ste 450a, San Bernardino, CA 92404 Phone: 909-864-4700 Fax: 909-883-0459
Angie Bagheri Cook, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091
Mrs. Amal Shoukry Ibrahim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 565 N. Mt. Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013
Ms. Lanny Nizar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4315 Fax: 909-881-4474
Dr. Mohammad S Kanakriyeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 E Vanderbilt Way, Ste A, San Bernardino, CA 92408 Phone: 909-886-5200 Fax: 909-382-9017

Matthew Bryan Fong, MD - Medicare Pediatrics in San Bernardino, CA