Dr Don Vongviphut, DO is a medicare enrolled "General Practice" physician in Joint Base Mcguire-dix-lakehurst, New Jersey. His current practice location is
3458 Neely Rd, Flight Medicine Clinic, Joint Base Mcguire-dix-lakehurst, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 754-9080.
Dr Don Vongviphut is licensed to practice in Indiana (license number 02005485A) 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 1003356684.
Physician's Profile
Full Name | Dr Don Vongviphut |
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Gender | Male |
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Speciality | General Practice |
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Location | 3458 Neely Rd, Joint Base Mcguire-dix-lakehurst, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003356684
- Provider Enumeration Date: 03/02/2017
- Last Update Date: 03/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 8527338946
- Enrollment ID: I20170718002439
Medical Identifiers
Medical identifiers for Dr Don Vongviphut such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003356684 | NPI | - | NPPES |
02005485A | Other | IN | INDIANA STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 02005485A (Indiana) | 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 Don Vongviphut 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 Don Vongviphut, DO 5109 Bindewald Rd, Torrance, CA 90505-4312 Ph: (650) 714-5919 | Dr Don Vongviphut, DO 3458 Neely Rd, Flight Medicine Clinic, Joint Base Mcguire-dix-lakehurst, NJ 08641 Ph: (609) 754-9080 |
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