123 Medical Group Corp. is a medicare enrolled "Family Medicine" provider in Walnut, California. Their current practice location is
18800 Amar Rd Ste C12, Walnut, California. You can reach out to their office (for appointments etc.) via phone at
(626) 788-9691.
123 Medical Group Corp. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 123 Medical Group Corp.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1588029771.
Healthcare Provider's Profile
| Full Name | 123 Medical Group Corp. |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 18800 Amar Rd Ste C12, Walnut, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588029771
- Provider Enumeration Date: 12/15/2015
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931407145
- Enrollment ID: O20160420002054
Medical Identifiers
Medical identifiers for 123 Medical Group Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588029771 | NPI | - | NPPES |
| 1588029771 | Other | | FAMILY MEDICINE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
123 Medical Group Corp. acts as a billing entity for following providers:
| Provider Name | Thomas T Lee |
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| Provider Type | Practitioner - Obstetrics/gynecology |
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| Provider Identifiers | NPI Number: 1942304373
PECOS PAC ID: 9537251970
Enrollment ID: I20070815000538 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 123 Medical Group Corp. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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123 Medical Group Corp.
18800 Amar Rd Ste C12,
Walnut, CA 91789-4561
Ph: (626) 788-9691 | 123 Medical Group Corp.
18800 Amar Rd Ste C12,
Walnut, CA 91789-4561
Ph: (626) 788-9691 |
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