KELSEY WONG DO
NPI 1043771462
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Kelsey Wong's NPI number?

The NPI number for Kelsey Wong is 1043771462. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Kelsey Wong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Wong was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment

4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelsey Wong Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY WONG DO (NPI 1043771462) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2019).

NPPES Registry Identity

NPI1043771462

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELSEY WONGCredential: DO

Location Address4150 V ST # 1100Sacramento, CA 95817-1460

Mailing Address4150 V St # 1100Sacramento, CA 95817-1460 · (916) 734-2737

Phone(916) 734-2737

Sole ProprietorNo

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2019

Enumeration DateMarch 28, 2019

Last NPPES UpdateDecember 30, 2024

✔ NPI 1043771462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4150 V ST # 1100, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Wong Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163832619

PECOS Enrollment IDI20241227002649

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$2.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE ZEZOFF

Internal Medicine