Dr Gordon Wong, DDS in Oakland, CA - Medicare Dentist Provider

Dr Gordon Wong, DDS is a medicare enrolled "Dentist - General Practice" provider in Oakland, California. His current practice location is 401 E 21st St, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 451-1974.

Dr Gordon Wong is licensed to practice in California (license number 24417) 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 1336243732.

Contact Information

	Dr Gordon Wong, DDS
	401 E 21st St, Oakland, CA 94606-1914
	(510) 451-1974
	(510) 451-1974

Healthcare Provider's Profile

Full Name	Dr Gordon Wong
Gender	Male
Speciality	Dentist - General Practice
Location	401 E 21st St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336243732
Provider Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416254024
Enrollment ID: I20160328000298

Medical Identifiers

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

Identifier	Type	State	Issuer
1336243732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	24417 (California)	Primary

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 Gordon 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 Gordon Wong, DDS 401 E 21st St, Oakland, CA 94606-1914 Ph: (510) 451-1974	Dr Gordon Wong, DDS 401 E 21st St, Oakland, CA 94606-1914 Ph: (510) 451-1974

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Dentist in Oakland, CA

Dr. Kevin Kay Cheung, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 714 Webster St, Suite 107, Oakland, CA 94607 Phone: 510-763-3333
Dr. Sam Y Wong, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1904 Franklin St, Suite 511, Oakland, CA 94612 Phone: 510-893-8066 Fax: 510-893-6542
Dr. Geraldine Abrera Lim, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4174 Park Blvd, Oakland, CA 94602 Phone: 510-530-7000 Fax: 510-530-7077
Faezeh Sadeghi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3050 E 16th Street, Oakland, CA 94601 Phone: 510-535-4700 Fax: 510-535-4283
David B. Poor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Mr. Hyung Kwon Ko, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 41st St Apt 613, Oakland, CA 94611 Phone: 510-409-4603
Dr. Diana C. Fong, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 345 9th St, Suite 304, Oakland, CA 94607 Phone: 510-270-0967 Fax: 510-272-0969

Dr Gordon Wong, DDS - Medicare Dentist in Oakland, CA