Khampha Thephavong, DO - Medicare Internal Medicine in Fresno, CA

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Khampha Thephavong, DO is a medicare enrolled "Internal Medicine" physician in Fresno, California. Her current practice location is 2823 Fresno St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 459-6000.

Khampha Thephavong is licensed to practice in California (license number 20A9790) 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 1194901173.

Contact Information

Khampha Thephavong, DO
2823 Fresno St,
Fresno, CA 93721-1324
(559) 459-6000
Not Available

Map and Direction




Physician's Profile

Full NameKhampha Thephavong
GenderFemale
SpecialityInternal Medicine
Location2823 Fresno St, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194901173
  • Provider Enumeration Date: 01/21/2008
  • Last Update Date: 08/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416085766
  • Enrollment ID: I20100507000304

Medical Identifiers

Medical identifiers for Khampha Thephavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194901173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20A9790 (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. Khampha Thephavong allows following entities to bill medicare on her behalf.
Entity NameReedley Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336167550
PECOS PAC ID: 0941460984
Enrollment ID: O20201224000078
Entity NameCommunity Health Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952912420
PECOS PAC ID: 6608280268
Enrollment ID: O20210122001714
Entity NameSmartcare Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912588914
PECOS PAC ID: 7012318785
Enrollment ID: O20210701002102

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. Khampha Thephavong 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 AddressPractice Location Address
Khampha Thephavong, DO
5068 E Home Ave,
Fresno, CA 93727-1948

Ph: (805) 234-0871		Khampha Thephavong, DO
2823 Fresno St,
Fresno, CA 93721-1324

Ph: (559) 459-6000

Reviews and Comments


Internal Medicine Doctors in Fresno, CA

Maulik Shah, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4555    
Dr. John R Nelson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7061 N Whitney, Suite 101, Fresno, CA 93720
Phone: 559-299-0224    Fax: 559-299-4201
Dexter T Estrada, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720
Phone: 559-326-1222    Fax: 559-326-1230
Dr. Sherry Lopez, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3209 W Shaw Ave, Suite 114, Fresno, CA 93711
Phone: 559-224-4977    Fax: 559-224-4980
Maria Flordeliz Arambulo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-499-6484    Fax: 559-499-6501
Shreela Mishra,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720
Phone: 559-323-9236    Fax: 559-323-0294
Dr. Mona Aziz Zia, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2615 E Clinton Ave, Fresno, CA 93703
Phone: 559-301-8545    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.