| Winnifred Wong, DO | |
|
101 Bodin Cir, Travis Afb, CA 94535 | |
| (707) 423-7691 | |
| Not Available |
| Full Name | Winnifred Wong |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144554148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | OP60363886 (Washington) | Primary |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Winnifred Wong, DO 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-7691 | Winnifred Wong, DO 101 Bodin Cir, Travis Afb, CA 94535 Ph: (707) 423-7691 |
Dr. Teddy Su, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119 | |
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597 | |
Dr. David Dean Gover, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7182 |