Dr Keith Yun Kong Wong, OD in Modesto, CA - Medicare Optometrist Provider

Dr Keith Yun Kong Wong, OD is a medicare enrolled "Optometrist" provider in Modesto, California. His current practice location is 3401 Dale Rd, Suite 300, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 574-0710.

Dr Keith Yun Kong Wong is licensed to practice in California (license number 8152T) 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 1336201615.

Contact Information

	Dr Keith Yun Kong Wong, OD
	3401 Dale Rd, Suite 300, Modesto, CA 95356-0505
	(209) 574-0710
	(209) 529-9030

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith Yun Kong Wong
Gender	Male
Speciality	Optometrist
Location	3401 Dale Rd, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336201615
Provider Enumeration Date: 12/14/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8729171046
Enrollment ID: I20070831000618

Medical Identifiers

Medical identifiers for Dr Keith Yun Kong Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336201615	NPI	-	NPPES
SD0081520	Medicaid	CA
CA8152	Other	CA	EYEMED
14062	Other	CA	MES
8152T	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8152T (California)	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 Keith Yun Kong Wong allows following entities to bill medicare on his behalf.

Provider Name	Fred Wm Stellhorn Optometric Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124290721 PECOS PAC ID: 8820117856 Enrollment ID: O20120118000351

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 Keith Yun Kong 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 Keith Yun Kong Wong, OD 1608 Lavender Ln, Modesto, CA 95355-3771 Ph: (209) 521-5709	Dr Keith Yun Kong Wong, OD 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505 Ph: (209) 574-0710

Reviews and Comments

Optometrist in Modesto, CA

Dr. Ronald F Janda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Ste. A, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy Ste C1, Modesto, CA 95350 Phone: 209-702-6240
Dr. Keith David Kajioka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Sylvan Ave, Suite 103, Modesto, CA 95350 Phone: 209-524-0100 Fax: 209-524-0596
Dr. Patrick A Lonowski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4120 Hallmark Way, Modesto, CA 95356 Phone: 209-390-4842
Stanley Michael Martin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693
Dr. Mark Henry Harder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685
Mark H. Harder Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685

Dr Keith Yun Kong Wong, OD - Medicare Optometrist in Modesto, CA