Tracy Fong, in Dayton, OH - Medicare Family Practice

Tracy Fong, is a medicare enrolled "Family Medicine" physician in Dayton, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 2261 Philadelphia Drive, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 734-4141.

Tracy Fong is licensed to practice in California (license number A147530) 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 1215314125.

Contact Information

	Tracy Fong,
	2261 Philadelphia Drive, Dayton, OH 45406
	(937) 734-4141
	Not Available

Map and Direction

Physician's Profile

Full Name	Tracy Fong
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	2261 Philadelphia Drive, Dayton, Ohio
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:

Tracy Fong attended and graduated from Wright State University Boonshoft School Of Medicine in 2015

NPI Data:

NPI Number: 1215314125
Provider Enumeration Date: 04/29/2015
Last Update Date: 10/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4688988470
Enrollment ID: I20180918001803

Medical Identifiers

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

Identifier	Type	State	Issuer
1215314125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A147530 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Tracy Fong allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Tracy 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
Tracy Fong, 26415 Carl Boyer Dr, Santa Clarita, CA 91350-5824 Ph: (888) 778-5000	Tracy Fong, 2261 Philadelphia Drive, Dayton, OH 45406 Ph: (937) 734-4141

Reviews and Comments

Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439 Phone: 937-293-2133
Dr. Barbara A Bennett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424 Phone: 937-233-4252 Fax: 937-233-7605
Jeffrey R Millard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388
Dr. Teresa Zryd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Dayton, OH 45435 Phone: 937-245-7200 Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-252-2000
Dr. Robert Randall Schaffer, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478

Tracy Fong, - Medicare Family Practice in Dayton, OH