Nicholas Fong, DO in Walnut Creek, CA - Medicare Internal Medicine

Nicholas Fong, DO is a medicare enrolled "Internal Medicine" physician in Walnut Creek, California. His current practice location is 1425 S Main St, Walnut Creek, California. You can reach out to his office (for appointments etc.) via phone at (925) 295-4000.

Nicholas Fong is licensed to practice in California (license number 20A22670) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053991711.

Contact Information

	Nicholas Fong, DO
	1425 S Main St, Walnut Creek, CA 94596-5318
	(925) 295-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicholas Fong
Gender	Male
Speciality	Internal Medicine
Location	1425 S Main St, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053991711
Provider Enumeration Date: 04/08/2021
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 4981145125
Enrollment ID: I20240916002027

Medical Identifiers

Medical identifiers for Nicholas Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053991711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A22670 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Nicholas Fong allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Nicholas Fong 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
Nicholas Fong, DO 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000	Nicholas Fong, DO 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000

Reviews and Comments

Internal Medicine Doctors in Walnut Creek, CA

Dr. Joseph Patrick Henry, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2645 Snyder Ct, Walnut Creek, CA 94598 Phone: 510-409-6511 Fax: 719-941-8247
Mr. Ramin Khashayar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1399 Ygnacio Valley Rd, Ste 14, Walnut Creek, CA 94598 Phone: 925-939-3050 Fax: 925-939-3057
Dr. Hennessey Tseng, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Treat Blvd, Suite 220b, Walnut Creek, CA 94597 Phone: 925-937-1770 Fax: 925-937-0630
Dr. Ali-reza Barmaki, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1220 Rossmoor Pkwy, Walnut Creek, CA 94595 Phone: 925-947-3393 Fax: 925-947-3396
Dr. Cynthia M. Mullen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2637 Shadelands Dr, Walnut Creek, CA 94598 Phone: 925-322-2372 Fax: 925-322-6720
Mr. David Nathanson, Internal Medicine Medicare: Medicare Enrolled Practice Location: 320 Lennon Ln, Walnut Creek, CA 94598 Phone: 925-906-2000
Mark D Nathan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 La Casa Via, #140, Walnut Creek, CA 94598 Phone: 925-274-2860 Fax: 925-932-4527

Nicholas Fong, DO - Medicare Internal Medicine in Walnut Creek, CA