| Stacy Wong, MD | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-0630 | |
| Not Available |
| Full Name | Stacy Wong |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 10 Years |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982083416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | BP10053998 (Texas) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | DR.0066287 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Wong, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-0630 | Stacy Wong, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-0630 |
Dr. John W Fitzwater, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 813-554-8384 | |
Grace Ng, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. John C. Hendricks, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. William Todd Bohannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Robert Scott Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Dr. Jacqueline Ann Lappin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Luke J Hofmann, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |