Priscilla Wong, NP | |
4626 Willow Rd, Pleasanton, CA 94588-8517 | |
(925) 463-0470 | |
Not Available |
Full Name | Priscilla Wong |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 4626 Willow Rd, Pleasanton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104646660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 95031338 (California) | Primary |
163W00000X | Registered Nurse | 95372896 (California) | Secondary |
Entity Name | Bass Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
Mailing Address | Practice Location Address |
---|---|
Priscilla Wong, NP 4626 Willow Rd Ste 200, Pleasanton, CA 94588-8564 Ph: (925) 463-0470 | Priscilla Wong, NP 4626 Willow Rd, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 |
David J Jupina, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Dr. Robert H Malstrom, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Kenneth G Venos, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Ian A Stine, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Kambiz Behzadi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Donald W Rohren, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10 Bunker Ln, Pleasanton, CA 94566 Phone: 925-209-9403 Fax: 925-396-6049 |