Mrs Nidia Delsy Pravongviengkham, MS - Couples Therapy in Moreno Valley, CA

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Mrs Nidia Delsy Pravongviengkham, MS is a Case Manager/care Coordinator based in Moreno Valley, California. Mrs Nidia Delsy Pravongviengkham is licensed to practice in * (Not Available) (license number ) and her current practice location is 13800 Heacock St Ste C236, Moreno Valley, California. She can be reached at her office (for appointments etc.) via phone at (951) 653-0819.

NPI number for Mrs Nidia Delsy Pravongviengkham is 1235384066 and her current mailing address is 13415 Canterbury Downs Way, Moreno Valley, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235384066.

Contact Information

Mrs Nidia Delsy Pravongviengkham, MS
13800 Heacock St Ste C236,
Moreno Valley, CA 92553-3364
(951) 653-0819
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Nidia Delsy Pravongviengkham
GenderFemale
SpecialityCase Manager/care Coordinator
Location13800 Heacock St Ste C236, Moreno Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235384066
  • Provider Enumeration Date: 11/20/2008
  • Last Update Date: 11/14/2012

Medical Identifiers

Medical identifiers for Mrs Nidia Delsy Pravongviengkham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235384066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist IMF 54676 (California)Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Primary

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. Mrs Nidia Delsy Pravongviengkham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Nidia Delsy Pravongviengkham, MS
13415 Canterbury Downs Way,
Moreno Valley, CA 92555-8402

Ph: (951) 893-0089		Mrs Nidia Delsy Pravongviengkham, MS
13800 Heacock St Ste C236,
Moreno Valley, CA 92553-3364

Ph: (951) 653-0819

Reviews and Comments


Case Manager/Care Coordinator in Moreno Valley, CA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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