Khoa Ba Nguyen, in Santa Monica, CA

Khoa Ba Nguyen, is a medicare enrolled "Dermatology" physician in Santa Monica, California. His current practice location is 2020 Santa Monica Blvd Ste 510, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 917-3376.

Khoa Ba Nguyen is licensed to practice in California (license number A186255) 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 1073139630.

Contact Information

	Khoa Ba Nguyen,
	2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404-2131
	(310) 917-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Khoa Ba Nguyen
Gender	Male
Speciality	Dermatology
Location	2020 Santa Monica Blvd Ste 510, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073139630
Provider Enumeration Date: 06/19/2020
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7113325473
Enrollment ID: I20231109002962

Medical Identifiers

Medical identifiers for Khoa Ba Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073139630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A186255 (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. Khoa Ba Nguyen allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Khoa Ba Nguyen 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
Khoa Ba Nguyen, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Khoa Ba Nguyen, 2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404-2131 Ph: (310) 917-3376

Reviews and Comments

Dermatology Doctors in Santa Monica, CA

Gregory J Colman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481
Ava T Shamban, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2021 Santa Monica Blvd, Suite 600e, Santa Monica, CA 90404 Phone: 310-828-2282 Fax: 310-828-8504
Dr. Hrak Ray Jalian, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2020 Santa Monica Blvd Ste 570, Santa Monica, CA 90404 Phone: 310-917-3376
Sourabh Arora, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2222 Santa Monica Blvd Ste 105, Santa Monica, CA 90404 Phone: 213-214-8738
Mr. Paul Lawrence Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90404 Phone: 310-829-4484 Fax: 310-829-4481
Dr. Jeena Kaur Sandhu, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 480w, Santa Monica, CA 90404 Phone: 310-954-9501 Fax: 310-954-9502

Khoa Ba Nguyen, - Medicare Dermatology in Santa Monica, CA