Dr Kevin Phuong Minh Nguyen, DDS is a medicare enrolled "Dentist" provider in Waskom, Texas. His current practice location is
1665 W Tevas Ave, Waskom, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 686-1667.
Dr Kevin Phuong Minh Nguyen is licensed to practice in Texas (license number 22458) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962506345.
Healthcare Provider's Profile
| Full Name | Dr Kevin Phuong Minh Nguyen |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 1665 W Tevas Ave, Waskom, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962506345
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618230707
- Enrollment ID: I20180425000388
Medical Identifiers
Medical identifiers for Dr Kevin Phuong Minh Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962506345 | NPI | - | NPPES |
| 179255801 | Medicaid | TX | |
| B22458-01 | Other | TX | TX CHIP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 22458 (Texas) | 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. Dr Kevin Phuong Minh 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 |
|---|
Dr Kevin Phuong Minh Nguyen, DDS
3147 S Camino Lagos,
Grand Prairie, TX 75054-6496
Ph: () - | Dr Kevin Phuong Minh Nguyen, DDS
1665 W Tevas Ave,
Waskom, TX 75692-6496
Ph: (903) 686-1667 |
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