| Wesley G Kong, MD | |
|
2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 | |
| (650) 962-4662 | |
| (650) 962-4652 |
| Full Name | Wesley G Kong |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 2490 Hospital Dr Ste 210, Mountain View, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962602151 | NPI | - | NPPES |
| 263505821 | Other | CA | TAX IDENTIFICATION NUMBER |
| CC146Z | Other | CA | MEDICARE PTAN |
| P00804581 | Other | CA | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A81674 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Camino Hospital | Mountain view, CA | Hospital |
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silicon Valley Medical Development Llc | 6103115183 | 163 |
| Entity Name | Urological Surgeons Of Northern California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528203338 PECOS PAC ID: 4587720537 Enrollment ID: O20090227000181 |
| Entity Name | Silicon Valley Medical Development Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley G Kong, MD 2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 Ph: (650) 962-4662 | Wesley G Kong, MD 2490 Hospital Dr Ste 210, Mountain View, CA 94040-4117 Ph: (650) 962-4662 |
Dr. Frank C. Lai, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2490 Hospital Dr, Suite 210, Mountain View, CA 94040 Phone: 650-962-4662 Fax: 650-962-4652 | |
Arnold Aigen, Urology Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7555 | |
Dr. Sari Ruth Levine, MD Urology Medicare: Medicare Enrolled Practice Location: 2490 Hospital Dr, Suite 210, Mountain View, CA 94040 Phone: 650-962-4662 | |
Marina J. White-nagy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 701 E. El Camino Real, Mountain View, CA 94040 Phone: 916-973-5000 | |
Dr. Larry H. Kretchmar, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2490 Hospital Dr Ste 210, Mountain View, CA 94040 Phone: 650-962-4662 | |
Scott Angell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7555 | |
Dr. Tin Chan Ngo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7555 |