Amy Fong, in Davis, CA - Medicare Physical Therapist Provider

Amy Fong, is a medicare enrolled "Physical Therapist" provider in Davis, California. Her current practice location is 1970 Lake Blvd Ste 4, Davis, California. You can reach out to her office (for appointments etc.) via phone at (530) 753-9355.

Amy Fong is licensed to practice in California (license number 30188) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538259981.

Contact Information

	Amy Fong,
	1970 Lake Blvd Ste 4, Davis, CA 95616-5663
	(530) 753-9355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Fong
Gender	Female
Speciality	Physical Therapist
Location	1970 Lake Blvd Ste 4, Davis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538259981
Provider Enumeration Date: 10/14/2006
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8123066453
Enrollment ID: I20050418001378

Medical Identifiers

Medical identifiers for Amy Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538259981	NPI	-	NPPES
1770675639	Other	CA	PHYSICAL EDGE, INC.
1689606469	Other	CA	PHYSICAL EDGE, INC.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	30188 (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. Amy Fong allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider 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. Amy Fong 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
Amy Fong, 102 W Gibson Rd, Woodland, CA 95695-4560 Ph: () -	Amy Fong, 1970 Lake Blvd Ste 4, Davis, CA 95616-5663 Ph: (530) 753-9355

Reviews and Comments

Physical Therapist in Davis, CA

Samantha Jordan Moore, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1460 Drew Ave Ste 200, Davis, CA 95618 Phone: 530-304-5169 Fax: 530-753-9021
Audrey Mott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter Ste 200, Davis, CA 95616 Phone: 530-758-2222
Alyssa Borchert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Shasta Dr Apt 135, Davis, CA 95616 Phone: 808-292-1051
Daniel Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Ponteverde Ln, Davis, CA 95618 Phone: 530-758-1508 Fax: 530-758-1508
Jolie Gonzalez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter, Suite 200, Davis, CA 95616 Phone: 530-758-2222
Dr. Leigh Quill, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609
Jennifer Ferguson Rhoads, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609

Amy Fong, - Medicare Physical Therapist in Davis, CA