Andrew Min, MD in Fontana, CA - Medicare Student in an Organized Health Care Education/Training Program

Andrew Min, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fontana, California. His current practice location is 17234 Valley Blvd, Building A, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-5679.

Andrew Min is licensed to practice in California (license number A100824) 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 1134398233.

Contact Information

	Andrew Min, MD
	17234 Valley Blvd, Building A, Fontana, CA 92335-6738
	(909) 427-5679
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrew Min
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	17234 Valley Blvd, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134398233
Provider Enumeration Date: 02/22/2008
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1254471824
Enrollment ID: I20091214000222

Medical Identifiers

Medical identifiers for Andrew Min such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134398233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A100824 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	A100824 (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. Andrew Min allows following entities to bill medicare on his behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Andrew Min 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
Andrew Min, MD 17234 Valley Blvd, Building A, Fontana, CA 92335-6738 Ph: (909) 427-5679	Andrew Min, MD 17234 Valley Blvd, Building A, Fontana, CA 92335-6738 Ph: (909) 427-5679

Andrew Min, MD - Medicare Student in an Organized Health Care Education/Training Program in Fontana, CA