Individual ProviderWillie DongEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669(484) 526-1000PECOS EnrollmentBased on the most recent information from CMS, provider Willie Dong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1629812045Provider TypeIndividualFull NameDong, WillieCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/20/2024Last Updated6/20/2024Contact InformationPractice LocationPractice Address1872 St Lukes Blvd, Easton, PA 18045-5669Phone(484) 526-1000FaxUnlisted FaxMailing LocationMailing Address1700 St Lukes Blvd, Easton, PA 18045-5670PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMT232498Pennsylvania