Mr Kongpeng C Moua, RD in Stockton, CA - Medicare Dietitian, Registered Provider

Mr Kongpeng C Moua, RD is a medicare enrolled "Dietitian, Registered" provider in Stockton, California. His current practice location is 425 N California St Ste 7, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 870-5000.

Mr Kongpeng C Moua is licensed to practice in California (license number 8080705) 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 1245875327.

Contact Information

	Mr Kongpeng C Moua, RD
	425 N California St Ste 7, Stockton, CA 95202-2130
	(209) 870-5000
	(209) 870-5020

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kongpeng C Moua
Gender	Male
Speciality	Dietitian, Registered
Location	425 N California St Ste 7, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245875327
Provider Enumeration Date: 11/12/2019
Last Update Date: 11/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2466889068
Enrollment ID: I20200220000808

Medical Identifiers

Medical identifiers for Mr Kongpeng C Moua such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245875327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	8080705 (California)	Primary

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. Mr Kongpeng C Moua allows following entities to bill medicare on his behalf.

Provider Name	Community Medical Centers, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870

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. Mr Kongpeng C Moua 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
Mr Kongpeng C Moua, RD 7820 Center Pkwy Apt 239, Sacramento, CA 95823-4785 Ph: (209) 777-7446	Mr Kongpeng C Moua, RD 425 N California St Ste 7, Stockton, CA 95202-2130 Ph: (209) 870-5000

Reviews and Comments

Dietitian, Registered in Stockton, CA

Miss Rosario Aguirre, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5186 Fax: 209-476-3144
Ronli Levi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-5356
Christina Ellis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 408-314-4600
Vanessa Aldana Romo, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 425 N California St Ste 7, Stockton, CA 95202 Phone: 209-870-5000
Mrs. Johnna Coppock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6356
Yesenia Cihuacoatl, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 N California St, Suite 2g, Stockton, CA 95204 Phone: 209-461-5268 Fax: 209-461-5395
Ms. Sandra Joy Sadahiro, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5419

Mr Kongpeng C Moua, RD - Medicare Dietitian in Stockton, CA