| Amanda Wong, | |
|
901 E 2nd St Ste 300, Reno, NV 89502-1175 | |
| (775) 982-5000 | |
| (775) 982-3901 |
| Full Name | Amanda Wong |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 901 E 2nd St Ste 300, Reno, Nevada |
| 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 |
|---|---|---|---|
| 1497307763 | NPI | - | NPPES |
| PA59545 | Other | CA | CALIFORNIA PA LICENSE |
| PA2388 | Other | NV | NEVADA PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA59545 (California) | Secondary |
| 363A00000X | Physician Assistant | PA2388 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renown Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Services Llc | 1951324318 | 630 |
| Mariko C Rajamand Pllc | 4385016435 | 8 |
| Entity Name | Community Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
| Entity Name | Mariko C Rajamand PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548987647 PECOS PAC ID: 4385016435 Enrollment ID: O20230217002125 |
| Entity Name | Renown Transitional Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437216645 PECOS PAC ID: 4688642176 Enrollment ID: O20231019000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wong, 1155 Mill St # Msm14, Reno, NV 89502-1576 Ph: (775) 982-5262 | Amanda Wong, 901 E 2nd St Ste 300, Reno, NV 89502-1175 Ph: (775) 982-5000 |
Shaylee Nystrom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5578 Longley Ln, Reno, NV 89511 Phone: 775-284-8650 |
Logan Bode Howard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10635 Professional Cir Ste A, Reno, NV 89521 Phone: 775-852-0505 Fax: 775-852-0508 |
Gretchen Goicoechea, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Pringle Way, Suite 401, Reno, NV 89502 Phone: 775-688-8000 Fax: 775-688-8031 |
Julio A Meza, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7111 S Virginia St Ste D2, Reno, NV 89511 Phone: 775-870-1230 Fax: 833-606-1557 |
Kallista S Brown, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1055 S Wells Ave, Reno, NV 89502 Phone: 775-329-6300 Fax: 775-336-0623 |
Karie King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 N Arlington Ave, Reno, NV 89503 Phone: 775-786-3040 Fax: 775-348-3051 |
Cloe Jade Jeans, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5578 Longley Ln, Reno, NV 89511 Phone: 775-284-8650 |