Kennett Lam Tran, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in San Jose, California. Her current practice location is
969 Story Rd Unit 6066, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 816-7753.
Kennett Lam Tran is licensed to practice in California (license number 95020549) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124724133.
Physician's Profile
Full Name | Kennett Lam Tran |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 969 Story Rd Unit 6066, San Jose, California |
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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: 1124724133
- Provider Enumeration Date: 02/01/2023
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476901620
- Enrollment ID: I20231128002733
Medical Identifiers
Medical identifiers for Kennett Lam Tran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124724133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 95020549 (California) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 95020549 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95020549 (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. Kennett Lam Tran allows following entities to bill medicare on her behalf.
Entity Name | Cardiology Clinic Of Northern California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841598323 PECOS PAC ID: 3779766761 Enrollment ID: O20110329000687 |
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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. Kennett Lam Tran 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 |
Kennett Lam Tran, FNP 2664 W Shadow Ln, Anaheim, CA 92801-3037 Ph: (714) 696-4667 | Kennett Lam Tran, FNP 969 Story Rd Unit 6066, San Jose, CA 95122-4601 Ph: (408) 816-7753 |
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