Andre Wang, in Culver City, CA - Medicare Physical Therapist In Private Practice Provider

Andre Wang, is a medicare enrolled "Physical Therapist" provider in Culver City, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 3831 Hughes Ave Ste 104, Culver City, California. You can reach out to his office (for appointments etc.) via phone at (310) 837-9700.

Andre Wang is licensed to practice in California (license number PT39378) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265785828.

Contact Information

	Andre Wang,
	3831 Hughes Ave Ste 104, Culver City, CA 90232-6834
	(310) 837-9700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andre Wang
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	13 Years
Location	3831 Hughes Ave Ste 104, Culver City, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andre Wang attended and graduated from University Of Southern California Keck School Of Medicine in 2012

NPI Data:

NPI Number: 1265785828
Provider Enumeration Date: 10/19/2012
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5294989505
Enrollment ID: I20130213000320

Medical Identifiers

Medical identifiers for Andre Wang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265785828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT39378 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	9038

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. Andre Wang allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Provider Name	Optc Westside Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942209242 PECOS PAC ID: 1355394214 Enrollment ID: O20050302001085

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. Andre Wang 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
Andre Wang, 1905 Cedar St Apt 4c, Alhambra, CA 91801-1894 Ph: (626) 475-7303	Andre Wang, 3831 Hughes Ave Ste 104, Culver City, CA 90232-6834 Ph: (310) 837-9700

Reviews and Comments

Physical Therapist in Culver City, CA

Vibrantcare Outpatient Rehabilitation Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10202 Washington Blvd, Culver City, CA 90232 Phone: 425-942-4790 Fax: 425-342-0547
Independent Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11056 Washington Blvd, Suite C, Culver City, CA 90232 Phone: 310-539-8800 Fax: 310-698-5410
Kenton S. Wan, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Suite # 104, Culver City, CA 90232 Phone: 310-837-9700 Fax: 310-837-9701
Phzio Florida Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11825 Major St, Culver City, CA 90230 Phone: 310-722-6574
Optc Westside, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10190 Culver Blvd, Culver City, CA 90232 Phone: 310-837-9700 Fax: 310-837-9701
Daniel Chi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11825 Major St Ste 107, Culver City, CA 90230 Phone: 310-915-6100
Dr. Rajiv Vijayakumar, P.T., D.P.T., M.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3916 Sepulveda Blvd, Suite 208, Culver City, CA 90230 Phone: 310-945-5705

Andre Wang, - Medicare Physical Therapist in Culver City, CA