| Dr Samuel T Wong, MD | |
|
27 Porter Ave, Jamestown, NY 14701-6221 | |
| (716) 483-2020 | |
| Not Available |
| Full Name | Dr Samuel T Wong |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 37 Years |
| Location | 27 Porter Ave, Jamestown, New York |
| 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 |
|---|---|---|---|
| 1881888642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 235523 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Raymond Fong Md, Pc | 5496655292 | 5 |
| Mark D Fromer Md Pc | 7214828045 | 11 |
| Entity Name | Raymond Fong Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083619274 PECOS PAC ID: 5496655292 Enrollment ID: O20040109000256 |
| Entity Name | Mark D Fromer Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649306218 PECOS PAC ID: 7214828045 Enrollment ID: O20040325000386 |
| Entity Name | Mark Fromer Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1306249453 PECOS PAC ID: 9335457985 Enrollment ID: O20150930002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel T Wong, MD 67 Riverside Dr, Suite 8a, New York, NY 10024-6135 Ph: (646) 229-7245 | Dr Samuel T Wong, MD 27 Porter Ave, Jamestown, NY 14701-6221 Ph: (716) 483-2020 |
Dr. Vincent A Derosa, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2652 Widdy Bostwick Lane, Jamestown, NY 14701 Phone: 716-483-0355 | |
Dr. Timothy J O'brien, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 27 Porter Ave, Jamestown, NY 14701 Phone: 716-483-2020 Fax: 716-488-9295 |