Rose Sui Lan Wong, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bellflower, California. Her current practice location is
9400 Rosecrans Ave, Bellflower, California. You can reach out to her office (for appointments etc.) via phone at
(562) 461-3000.
Rose Sui Lan Wong is licensed to practice in California (license number G63765) 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 1073684973.
Physician's Profile
| Full Name | Rose Sui Lan Wong |
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| Gender | Female |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 9400 Rosecrans Ave, Bellflower, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073684973
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719947712
- Enrollment ID: I20041014000173
Medical Identifiers
Medical identifiers for Rose Sui Lan Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073684973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G63765 (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. Rose Sui Lan Wong allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Rose Sui Lan 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 |
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Rose Sui Lan Wong, MD
9449 Imperial Hwy, Building A, Suite 309,
Downey, CA 90242-2814
Ph: (562) 657-2751 | Rose Sui Lan Wong, MD
9400 Rosecrans Ave,
Bellflower, CA 90706-2246
Ph: (562) 461-3000 |
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