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JEREN WONG
NPI 1437683950
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 993-2530 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Apr 12, 2017 (2 updates tracked since 2017).

About Jeren Wong NPPES

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

JEREN WONG (NPI 1437683950) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2017).

NPPES Registry Identity

NPI1437683950
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREN WONG
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine StDetroit, MI 48201-2153
Phone(313) 993-2530
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1437683950 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.

4201 SAINT ANTOINE ST, Detroit, MI 48201
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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

Jeren Wong 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 ID3577972736
PECOS Enrollment IDI20210429002221
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients

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.

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeren Wong's NPI number?

The NPI number for Jeren Wong is 1437683950. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Jeren Wong located?

Jeren Wong practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 993-2530.

What is Jeren Wong's specialty?

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

Is Jeren Wong enrolled in Medicare?

Yes. Jeren Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeren Wong was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.