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EDISON WONG M.D.
NPI 1457424392
Physical Medicine & Rehabilitation - Pain Medicine in Maitland, FL

Active since November 16, 2006PECOS Enrolled
668 N ORLANDO AVE STE 1010, MAITLAND, FL 32751(407) 644-0101(321) 441-1559 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edison Wong M.d. NPPES

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

EDISON WONG M.D. (NPI 1457424392) is an individual pain medicine provider in Maitland, Florida, licensed in Massachusetts (81293) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fitchburg.

NPPES Registry Identity

NPI1457424392
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameEDISON WONGCredential: M.D.
Location Address668 N ORLANDO AVE STE 1010Maitland, FL 32751-4460
Mailing Address668 N Orlando Ave Ste 1010Maitland, FL 32751-4460 · (407) 644-0101 · Fax (321) 441-1559
Phone(407) 644-0101
Fax(321) 441-1559
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1457424392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in MA · 81293✔ Licensed in CT · 040751
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

668 N ORLANDO AVE STE 1010, Maitland, FL 32751
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Secondary Practice Location 1

Location 1275 Nichols RdFitchburg, MA 01420-1919 · Phone (978) 343-5045 · Fax (978) 343-5075

Other Identifiers 7

Other30555MA · Fallon
Other758575MA · Tufts
Other972848MA · Network Health
OtherJ31343MA · Bcbs
OtherP00132480MA · Mr Rr
Medicaid3139875MA
Other80911MA · Harv Pilgrim

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Edison Wong M.d. 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 1, 2024 through April 1, 2026.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2026Opt-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.

Frequently Asked Questions

What is Edison Wong's NPI number?

The NPI number assigned to this healthcare provider is 1457424392, enumerated as an "individual" on November 16, 2006.

Where is the provider located?

The provider is located at 668 N ORLANDO AVE STE 1010 MAITLAND, FL 32751 and the phone number is (407) 644-0101.

What is the provider's specialty?

Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.

What insurance does Edison Wong accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.