Kevin M Wong (NPI# 1437177193, PAC ID# 2466362496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437177193 |
| PAC ID by PECOS | 2466362496 |
| Professional Enrollment ID | I20050531000872 |
| Full Name | Kevin M Wong |
| Address |
2057 State Route 130 Jeannette PA 15644-3801 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390145 | EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL |
| 390328 | UPMC EAST |
| 390032 | ALLEGHENY VALLEY HOSPITAL |
| 390267 | FORBES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2057 State Route 130, Jeannette, PA 15644-3801 | ||
| 2057 State Route 130, Suite 3, Jeannette, PA 15644-3801 | 8555022273 | RECOVERY CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% |
| Street Address |
2057 STATE ROUTE 130 |
| City | JEANNETTE |
| State | PA |
| Zip | 15644-3801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Rosen | Family Medicine | Recovery Care LLC | 2057 State Route 130, Suite 3, Jeannette, PA 15644-3801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen J Lash | Physical Therapy | Pt Group Acquisition LLC | One Dolly Ave, Jeannette, PA 15644 |
| Steven J Teitel | Physical Therapy | Pt Group Acquisition LLC | One Dolly Ave, Jeannette, PA 15644 |
| Joseph A Altier | Chiropractic | 621 N 4th St, Suite 100, Jeannette, PA 15644-1715 | |
| David J Valerio Jr. | Chiropractic | 214 /2 N 1st St, Jeannette, PA 15644-1827 | |
| Robert H Gerger | Family Practice | 607 Michigan Ave, Jeannette, PA 15644-2433 | |
| Cathy Piper | Nurse Practitioner | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
| Kathryn F Bender | Family Medicine | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
| Rebecca Ann Watt | Nurse Practitioner | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
| Jill M Constantine | Family Medicine | Excela Health Physician Practices, Inc | 601 Michigan Ave, Jeannette, PA 15644-2433 |
| Robert M Fetchero | Family Medicine | Allegheny Clinic | 620 Lowry Ave, Jeannette, PA 15644-2468 |
| Find all physicians in zip 15644 | |||
| City | JEANNETTE |
| Zip Code | 15644 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JEANNETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kevin M Wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.