Audrey Fong, CPNP - Medicare Nurse Practitioner in Palo Alto, CA

Audrey Fong, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Palo Alto, California. Her current practice location is 725 Welch Rd, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 497-8000.

Audrey Fong is licensed to practice in California (license number 22572) 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 1023409513.

Contact Information

Audrey Fong, CPNP
725 Welch Rd,
Palo Alto, CA 94304-1601
(650) 497-8000
(650) 498-5840



Provider's Profile

Full NameAudrey Fong
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location725 Welch Rd, Palo Alto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023409513
  • Provider Enumeration Date: 02/05/2015
  • Last Update Date: 08/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9335441500
  • Enrollment ID: I20170116000434

Medical Identifiers

Medical identifiers for Audrey Fong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023409513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 22572 (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. Audrey Fong allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348

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Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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› Verified 5 days ago

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. Audrey 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 AddressPractice Location Address
Audrey Fong, CPNP
1804 Embarcadero Rd, Suite,
Palo Alto, CA 94303-3341

Ph: (650) 723-4000
Audrey Fong, CPNP
725 Welch Rd,
Palo Alto, CA 94304-1601

Ph: (650) 497-8000

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› Verified 5 days ago


Nurse Practitioner Nurses in Palo Alto, CA

Wendy Leigh Adams, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 725 Welch Rd, Palo Alto, CA 94304
Phone: 650-497-8000    
Mr. Christopher Gerard Gonzales, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3801 Miranda Ave, Emergency Department, Palo Alto, CA 94304
Phone: 650-493-5000    
Sarah Davidson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 212 High St, Palo Alto, CA 94301
Phone: 415-663-5584    
Erin Danielle Herse, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 725 Welch Rd, Palo Alto, CA 94304
Phone: 650-736-7359    Fax: 650-497-8041
Christian Laparan, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 795 El Camino Real, Palo Alto, CA 94301
Phone: 650-853-2977    
Theresa V Pittman, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 795 El Camino Real, Palo Alto, CA 94301
Phone: 650-321-4121    

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