Stacy Waung, CPNP-PC is a medicare enrolled "Pediatrics" physician in Signal Hill, California. Her current practice location is
2704 E Willow St, Signal Hill, California. You can reach out to her office (for appointments etc.) via phone at
(562) 490-9900.
Stacy Waung is licensed to practice in California (license number 95017212) 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 1154999787.
Physician's Profile
| Full Name | Stacy Waung |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 2704 E Willow St, Signal Hill, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154999787
- Provider Enumeration Date: 06/10/2021
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688043813
- Enrollment ID: I20221212000293
Medical Identifiers
Medical identifiers for Stacy Waung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154999787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 95017212 (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. Stacy Waung allows following entities to bill medicare on her behalf.
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265530653
PECOS PAC ID: 0143126920
Enrollment ID: O20031211000522 |
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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. Stacy Waung 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 |
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Stacy Waung, CPNP-PC
2704 E Willow St,
Signal Hill, CA 90755-2217
Ph: () - | Stacy Waung, CPNP-PC
2704 E Willow St,
Signal Hill, CA 90755-2217
Ph: (562) 490-9900 |
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