Samantha Wong, DPT, PT in Draper, UT - Medicare Physical Therapist Provider

Samantha Wong, DPT, PT is a medicare enrolled "Physical Therapist" provider in Draper, Utah. Her current practice location is 13937 S Sprague Ln Ste 100, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 308-8034.

Samantha Wong is licensed to practice in New Jersey (license number 40QA01779400) 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 1679285563.

Contact Information

	Samantha Wong, DPT, PT
	13937 S Sprague Ln Ste 100, Draper, UT 84020-7864
	(385) 308-8034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Wong
Gender	Female
Speciality	Physical Therapist
Location	13937 S Sprague Ln Ste 100, Draper, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679285563
Provider Enumeration Date: 12/22/2022
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 5991168643
Enrollment ID: I20230828002858

Medical Identifiers

Medical identifiers for Samantha Wong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679285563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA01779400 (New Jersey)	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. Samantha Wong allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554

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. Samantha 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
Samantha Wong, DPT, PT 13937 S Sprague Ln Ste 100, Draper, UT 84020-7864 Ph: (385) 308-8034	Samantha Wong, DPT, PT 13937 S Sprague Ln Ste 100, Draper, UT 84020-7864 Ph: (385) 308-8034

Reviews and Comments

Physical Therapist in Draper, UT

Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034
Justin Guillot, Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 Fax: 385-308-8034

Samantha Wong, DPT, PT - Medicare Physical Therapist in Draper, UT