Kelly Marie Wong, NP - Medicare Nurse Practitioner in Plantation, FL

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Kelly Marie Wong, NP is a medicare enrolled "Nurse Practitioner" in Plantation, Florida. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Spine And Pain Llc and her current practice location is 861 Sw 78th Ave, Ste 200b, Plantation, Florida. You can reach out to her office (for appointments etc.) via phone at (877) 693-5700.

Kelly Marie Wong is licensed to practice in Arizona (license number AP4100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174803605.

Contact Information

Kelly Marie Wong, NP
861 Sw 78th Ave, Ste 200b,
Plantation, FL 33324-3273
(877) 693-5700
Not Available

Map and Direction




Provider's Profile

Full NameKelly Marie Wong
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location861 Sw 78th Ave, Plantation, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Marie Wong graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1174803605
  • Provider Enumeration Date: 08/29/2011
  • Last Update Date: 06/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830362243
  • Enrollment ID: I20111031000731

Medical Identifiers

Medical identifiers for Kelly Marie Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174803605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP4100 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Spine And Pain Llc094161007522

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. Kelly Marie Wong allows following entities to bill medicare on her behalf.
Entity NameValley Anesthesiology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285660704
PECOS PAC ID: 4880591841
Enrollment ID: O20031217000620
Entity NameComprehensive Hospitalist Services Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689909780
PECOS PAC ID: 8820138076
Enrollment ID: O20091218000199
Entity NameSteward Emergency Physicians Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558827998
PECOS PAC ID: 4486995420
Enrollment ID: O20190401001375
Entity NameAdvanced Spine And Pain Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356950653
PECOS PAC ID: 0941610075
Enrollment ID: O20201102000020

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. Kelly Marie 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 AddressPractice Location Address
Kelly Marie Wong, NP
6553 E Baywood Ave Ste 201,
Mesa, AZ 85206-1754

Ph: (480) 467-2273		Kelly Marie Wong, NP
861 Sw 78th Ave, Ste 200b,
Plantation, FL 33324-3273

Ph: (877) 693-5700

Reviews and Comments


Nurse Practitioner Nurses in Plantation, FL

Mrs. Carmelle Alexis Casimir, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1776 N Pine Island Rd Ste 106, Plantation, FL 33322
Phone: 954-376-3739    Fax: 855-618-6655
Ralitza Georgieva,
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Practice Location: 7420 Nw 5th St, Suite 103, Plantation, FL 33317
Phone: 954-474-4704    Fax: 954-587-8686
Latoya K Elmes, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1776 N Pine Island Rd Ste 308, Plantation, FL 33322
Phone: 954-376-3739    Fax: 844-407-9213
Jonelle A Mattis, FNP-BC
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Practice Location: 8201 Peters Rd Ste 1000, Plantation, FL 33324
Phone: 877-964-9378    
Angelica Berrio, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 10241 W Broward Blvd, Plantation, FL 33324
Phone: 786-985-8901    
Dr. Juliette Drexler, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 700 Sw 78th Ave Apt 416, Plantation, FL 33324
Phone: 954-401-2852    
Mrs. Yasnay Arias, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8251 W Broward Blvd, Suite 103, Plantation, FL 33324
Phone: 954-255-7310    Fax: 954-255-1530

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.