Kieu Phuong Proud, - Medicare Registered Nurse in Berkeley, CA

Kieu Phuong Proud, is a medicare enrolled "Registered Nurse" in Berkeley, California. Her current practice location is 830 University Ave, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 981-5333.

Kieu Phuong Proud is licensed to practice in California (license number RN603923) 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 1154506590.

Contact Information

Kieu Phuong Proud,
830 University Ave,
Berkeley, CA 94710-2044
(510) 981-5333
(510) 981-5345

Map and Direction




Provider's Profile

Full NameKieu Phuong Proud
GenderFemale
SpecialityRegistered Nurse
Location830 University Ave, Berkeley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154506590
  • Provider Enumeration Date: 01/03/2008
  • Last Update Date: 11/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2961808530
  • Enrollment ID: I20210907002020

Medical Identifiers

Medical identifiers for Kieu Phuong Proud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154506590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN603923 (California)Primary
363LG0600XNurse Practitioner - Gerontology 16403 (California)Secondary

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. Kieu Phuong Proud 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
Kieu Phuong Proud,
1947 Center St, 2nd Floor,
Berkeley, CA 94704-1169

Ph: (510) 981-5137
Kieu Phuong Proud,
830 University Ave,
Berkeley, CA 94710-2044

Ph: (510) 981-5333

Reviews and Comments


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Practice Location: 1947 Center St, 2nd Floor, Berkeley, CA 94704
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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.