ALICE WONG DO - NPI 1073045084 - Psychiatry & Neurology in Santa Monica, CA

Q: What is Alice Wong's NPI number?

The NPI number for Alice Wong is 1073045084. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Alice Wong's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Alice Wong enrolled in Medicare?

No. Alice Wong has opted out of Medicare through April 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Alice Wong was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alice Wong Do NPPES

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

ALICE WONG DO (NPI 1073045084) is an individual psychiatry provider in Santa Monica, California, licensed in California (18871) and active in the NPI registry since March 2017. She has opted out of Medicare through April 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073045084

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameALICE WONGCredential: DO

Location Address1450 10TH ST STE 404Santa Monica, CA 90401-2831

Mailing Address1450 10th St Ste 404Santa Monica, CA 90401-2831

Phone(424) 284-2440

Sole ProprietorYes

Enumeration DateMarch 29, 2017

Last NPPES UpdateApril 6, 20222 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1073045084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 18871

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1450 10TH ST STE 404, Santa Monica, CA 90401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alice Wong Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2024 through April 3, 2028.

Opt-Out Effective DateApril 3, 2024

Opt-Out In Effect ThroughApril 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

ERIC S GRADY PH.D

Psychologist (Clinical)