LARRY WONG
NPI 1871159962
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment
1230 S CHERRYBELL STRA, TUCSON, AZ 85713(520) 670-3909 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Jul 8, 2021, May 14, 2019 (3 updates tracked since 2019).

About Larry Wong NPPES

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

LARRY WONG (NPI 1871159962) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871159962
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLARRY WONG
Location Address1230 S CHERRYBELL STRATucson, AZ 85713-1907
Mailing Address501 S Washington AveScranton, PA 18505-3814
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 14, 2019
Last NPPES UpdateNovember 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1871159962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1230 S CHERRYBELL STRA, Tucson, AZ 85713

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

Larry 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 ID6901273812
PECOS Enrollment IDI20221107001597
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.

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.

Psychiatry & Neurology (Psychiatry)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Nurse Practitioner (Adult Health)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Pharmacist (Ambulatory Care)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Internal Medicine (Infectious Disease)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Psychiatry & Neurology (Psychiatry)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Social Worker (Clinical)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Nurse Practitioner (Family)
1230 S CHERRYBELL STRA
TUCSON, AZ 85713
Counselor
1230 S CHERRYBELL STRA
TUCSON, AZ 85713

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 Larry Wong's NPI number?

The NPI number for Larry Wong is 1871159962. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Larry Wong located?

Larry Wong practices at 1230 S Cherrybell Stra, Tucson, AZ 85713. The listed phone number is (520) 670-3909.

What is Larry 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 Larry Wong enrolled in Medicare?

Yes. Larry 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 Larry Wong was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.