| Winnifred Wong, DO | |
|
101 Bodin Cir, Travis Afb, CA 94535 | |
| (707) 423-7691 | |
| Not Available |
| Full Name | Winnifred Wong |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 17 Years |
| Location | 101 Bodin Cir, Travis Afb, California |
| 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 |
|---|---|---|---|
| 1144554148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | OP60363886 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Skyline Hospital | White salmon, WA | Hospital |
| Klickitat Valley Hospital | Goldendale, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-columbia Medical Center | 3779487251 | 97 |
| 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 | |
Tirzah Wende Prince Wait, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7208 | |
James Odone, Radiology Medicare: Medicare Enrolled 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 |