Jade Wong, OTR/L, CHT, CLT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Redondo Beach, California. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. Her current practice location is
2703 Rockefeller Ln Apt 2, Redondo Beach, California. You can reach out to her office (for appointments etc.) via phone at
(808) 285-5090.
Jade Wong is licensed to practice in California (license number 14398) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255810008.
Physician's Profile
| Full Name | Jade Wong |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 11 Years |
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| Location | 2703 Rockefeller Ln Apt 2, Redondo Beach, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jade Wong graduated from medical school in 2014
NPI Data:
- NPI Number: 1255810008
- Provider Enumeration Date: 08/13/2018
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567866502
- Enrollment ID: I20210812001310
Medical Identifiers
Medical identifiers for Jade Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255810008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 14398 (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. Jade Wong allows following entities to bill medicare on her behalf.
| Entity Name | Reach Beyond Therapy Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1447099007 PECOS PAC ID: 4082156864 Enrollment ID: O20240607002060 |
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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. Jade 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 |
Jade Wong, OTR/L, CHT, CLT 2703 Rockefeller Ln Apt 2, Redondo Beach, CA 90278-4299 Ph: (808) 285-5090 | Jade Wong, OTR/L, CHT, CLT 2703 Rockefeller Ln Apt 2, Redondo Beach, CA 90278-4299 Ph: (808) 285-5090 |
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