| Dr Pui-sum Susan Wong, MD | |
|
5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | |
| (903) 614-3000 | |
| (903) 614-3525 |
| Full Name | Dr Pui-sum Susan Wong |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 5002 Cowhorn Creek Rd, Texarkana, Texas |
| 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 |
|---|---|---|---|
| 1912975111 | NPI | - | NPPES |
| 8AN222 | Other | TX | BCBS TEXAS |
| 145610001 | Medicaid | AR | |
| 200124670A | Medicaid | OK | |
| 147257303 | Medicaid | TX | |
| P00473270 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E3038 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | L3192 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Onesource Home Care Inc | Longview, TX | Home health agency |
| Christus Homecare - St Michael | Texarkana, TX | Home health agency |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Collom And Carney Clinic Association | 1355249541 | 76 |
| Entity Name | Collom & Carney Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pui-sum Susan Wong, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000 | Dr Pui-sum Susan Wong, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000 |
Dr. Douglas Scott Black, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd, Suite 401, Texarkana, TX 75501 Phone: 903-794-8820 Fax: 903-794-8878 | |
Charles Chibundu Mbonu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 Phone: 903-614-5001 Fax: 903-614-5077 | |
Jonathan F Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Mrs. Michelle R Dehan, RN, ACNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 Moores Ln, Texarkana, TX 75503 Phone: 903-793-7378 | |
Job Jacob, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Jayendra D. Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2111 Fax: 903-614-6913 | |
Dr. Thomas Alston, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Ste 202, Texarkana, TX 75503 Phone: 903-735-5330 |