Dat M Nguyen, PA-C is a medicare enrolled "Surgery - Vascular Surgery" in Gainesville, Georgia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northside Cardiovascular Institute, Llc and his current practice location is
1315 Jesse Jewell Pkwy Ne Ste 201, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 219-8765.
Dat M Nguyen is licensed to practice in Georgia (license number 9632) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588294441.
Provider's Profile
| Full Name | Dat M Nguyen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 1315 Jesse Jewell Pkwy Ne Ste 201, Gainesville, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dat M Nguyen graduated from nursing school in 2019
NPI Data:
- NPI Number: 1588294441
- Provider Enumeration Date: 01/20/2020
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072939834
- Enrollment ID: I20200811003957
Medical Identifiers
Medical identifiers for Dat M Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588294441 | NPI | - | NPPES |
| PA14510 | Other | TX | TEXAS MEDICAL BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 9632 (Georgia) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 9632 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northside Cardiovascular Institute, Llc | 2668708850 | 72 |
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. Dat M 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 |
|---|
Dat M Nguyen, PA-C
Po Box 742616,
Atlanta, GA 30374-2616
Ph: (770) 219-8420 | Dat M Nguyen, PA-C
1315 Jesse Jewell Pkwy Ne Ste 201,
Gainesville, GA 30501-3811
Ph: (770) 219-8765 |
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