Grand Fu Kwok Wong, MD | |
1700 Renaissance Blvd, Edmond, OK 73013-3022 | |
(405) 844-4300 | |
(405) 844-4333 |
Full Name | Grand Fu Kwok Wong |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 1700 Renaissance Blvd, Edmond, Oklahoma |
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 |
---|---|---|---|
1730175340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2004020460 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integris Ambulatory Care Corporation | 2365408465 | 382 |
Entity Name | Integris Ambulatory Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Entity Name | Medical Resource Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840 |
Mailing Address | Practice Location Address |
---|---|
Grand Fu Kwok Wong, MD 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 Ph: (405) 844-4300 | Grand Fu Kwok Wong, MD 1700 Renaissance Blvd, Edmond, OK 73013-3022 Ph: (405) 844-4300 |
Dr. Kelsey Keoppel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Mrs. Chelsea Renee Lowery, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2557 Old Timbers Dr., Edmond, OK 73034 Phone: 405-669-2600 Fax: 405-500-1232 | |
Kathryn J Lofgren, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17109 Prestwick Cir, Edmond, OK 73012 Phone: 405-285-1599 | |
Dr. Franklin Cleo Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Dr. Sara Elaine Burnett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-2100 | |
Carla A Werner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811 | |
Dr. Jenny Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2611 Kelley Pointe Pkwy, Edmond, OK 73013 Phone: 405-359-0919 |