Individual ProviderYichen WangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4500 San Pablo Rd S, Jacksonville, FL 32224-1865(904) 953-2000(570) 343-2383PECOS EnrollmentBased on the most recent information from CMS, provider Yichen Wang 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 12:57 PM.Profile DetailsProvider ID1275069411Provider TypeIndividualFull NameWang, YichenTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/10/2017Last Updated7/24/2025Contact InformationPractice LocationPractice Address4500 San Pablo Rd S, Jacksonville, FL 32224-1865Phone(904) 953-2000FaxUnlisted FaxMailing LocationMailing Address501 Madison Avenue, The Wright Center For Graduate Medical Education, Scranton, PA 18510Phone(570) 343-2383Fax(570) 343-4800Provider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME172742FloridaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense281848Massachusetts