MR. DARENCE CA THONG (PA-C) – Physician Assistant, NPI 1043697733
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. DARENCE CA THONG (PA-C)
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 532153669
Phone: (414) 276-4242
Type: Mailing
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 532153669
Phone: (414) 276-4242
Type: Location
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
Phone: (253) 596-3300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160812001115 | I | Physician Assistant | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53215)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 38 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| - | WA | |
| Emergency Medicine | CA | |
| Emergency Medicine | TX | |
| Nurse Practitioner | PA | |
| Emergency Medicine | CT | |
| - | WA | |
| Emergency Medicine | NY | |
| - | WA | |
| Nurse Practitioner | TX |
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