Erica Wong, is a medicare enrolled "Physical Therapist" physician in Colleyville, Texas. Her current practice location is
1109 Church St, Colleyville, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 498-3919.
Erica Wong is licensed to practice in Texas (license number 1357504) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710631643.
Physician's Profile
| Full Name | Erica Wong |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1109 Church St, Colleyville, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710631643
- Provider Enumeration Date: 02/09/2022
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688068919
- Enrollment ID: I20220302000236
Medical Identifiers
Medical identifiers for Erica Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710631643 | NPI | - | NPPES |
| 1357504 | Other | TX | PT LICENSE |
| 15508639 | Other | TX | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1357504 (Texas) | Secondary |
| 225100000X | Physical Therapist | 1357504 (Texas) | 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. Erica Wong allows following entities to bill medicare on her behalf.
| Entity Name | Colleyville Physical Therapy And Sports Rehab, Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134158371
PECOS PAC ID: 1153315791
Enrollment ID: O20040414001234 |
|---|
| Entity Name | Lancaster Regional Hospital, Lp |
|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
|---|
| Entity Identifiers | NPI Number: 1851632616
PECOS PAC ID: 0840437257
Enrollment ID: O20150417001375 |
|---|
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. Erica Wong 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 |
|---|
Erica Wong,
1109 Church St,
Colleyville, TX 76034-5849
Ph: (817) 498-3919 | Erica Wong,
1109 Church St,
Colleyville, TX 76034-5849
Ph: (817) 498-3919 |
Reviews and Comments