Dr Theodore Alan Wong, CRNA, RN in Birmingham, AL - Medicare Nurse Anesthetist, Certified Registered

Dr Theodore Alan Wong, CRNA, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Birmingham, Alabama. His current practice location is 1802 6th Ave S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-3411.

Dr Theodore Alan Wong is licensed to practice in Alabama (license number 134436) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124601950.

Contact Information

	Dr Theodore Alan Wong, CRNA, RN
	1802 6th Ave S, Birmingham, AL 35233-1932
	(205) 934-3411
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Theodore Alan Wong
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1802 6th Ave S, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124601950
Provider Enumeration Date: 04/29/2021
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9436554714
Enrollment ID: I20210825000865

Medical Identifiers

Medical identifiers for Dr Theodore Alan Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124601950	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95238443 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	134436 (Alabama)	Primary

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. Dr Theodore Alan Wong allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Dr Theodore Alan Wong 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
Dr Theodore Alan Wong, CRNA, RN 855 Brannan St Unit 677, San Francisco, CA 94103-5276 Ph: (256) 527-1995	Dr Theodore Alan Wong, CRNA, RN 1802 6th Ave S, Birmingham, AL 35233-1932 Ph: (205) 934-3411

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Birmingham, AL

Ladana M. Williams, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-783-3144
James M. Hatchett, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-977-1949
Katherine S. Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-977-1949
Karen Barrow, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209 Phone: 205-877-1000
Brooklyn Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209 Phone: 205-877-1000
Robert Singley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Montclair Rd, Birmingham, AL 35213 Phone: 205-783-3144
Dr. Andrew Paul Nolen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411

Dr Theodore Alan Wong, CRNA, RN - Medicare Nurse Anesthetist, Certified Registered in Birmingham, AL