Dr Van John Nguyen, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. He graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pacific Neurobehavioral Clinic Inc and his current practice location is
5348 Carroll Canyon Rd Ste 101, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 202-1546.
Dr Van John Nguyen is licensed to practice in California (license number PSY32365) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063630770.
Healthcare Provider's Profile
| Full Name | Dr Van John Nguyen |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 5348 Carroll Canyon Rd Ste 101, San Diego, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Van John Nguyen graduated from medical school in 2013
NPI Data:
- NPI Number: 1063630770
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789087156
- Enrollment ID: I20210722001053
Medical Identifiers
Medical identifiers for Dr Van John Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063630770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | PSY32365 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY32365 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pacific Neurobehavioral Clinic Inc | 9234454422 | 4 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Van John Nguyen allows following entities to bill medicare on his behalf.
| Entity Name | Pacific Neurobehavioral Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952724817
PECOS PAC ID: 9234454422
Enrollment ID: O20150210002211 |
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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. Dr Van John Nguyen 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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Dr Van John Nguyen, PHD
11021 Catarina Ln Unit 300,
San Diego, CA 92128-5691
Ph: (858) 740-4455 | Dr Van John Nguyen, PHD
5348 Carroll Canyon Rd Ste 101,
San Diego, CA 92121-1753
Ph: (858) 202-1546 |
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