Phet Yoon Tejavanija, MD is a medicare enrolled "Family Medicine" physician in Newhall, California. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
24355 Lyons Ave, Suite 210, Newhall, California. You can reach out to her office (for appointments etc.) via phone at
(661) 222-9381.
Phet Yoon Tejavanija is licensed to practice in California (license number A89277) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578554986.
Physician's Profile
Full Name | Phet Yoon Tejavanija |
---|
Gender | Female |
---|
Speciality | Family Practice |
---|
Experience | 25 Years |
---|
Location | 24355 Lyons Ave, Newhall, California |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Phet Yoon Tejavanija graduated from medical school in 1999
NPI Data:
- NPI Number: 1578554986
- Provider Enumeration Date: 11/03/2005
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264467752
- Enrollment ID: I20051004000420
Medical Identifiers
Medical identifiers for Phet Yoon Tejavanija such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578554986 | NPI | - | NPPES |
00A892770 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A89277 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Phet Yoon Tejavanija allows following entities to bill medicare on her 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. Phet Yoon Tejavanija 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 |
Phet Yoon Tejavanija, MD 777 Flower St, Suite A, Glendale, CA 91201-3015 Ph: (818) 637-2000 | Phet Yoon Tejavanija, MD 24355 Lyons Ave, Suite 210, Newhall, CA 91321-2300 Ph: (661) 222-9381 |
Reviews and Comments