Mikey Thanteraphong, in Newbury Park, CA - Medicare Nurse Practitioner

Mikey Thanteraphong, is a medicare enrolled "Nurse Practitioner" in Newbury Park, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Agoura Hills Urgentocare Pc, Anvar Medical Group and his current practice location is 3175 Old Conejo Rd # 200, Newbury Park, California. You can reach out to his office (for appointments etc.) via phone at (818) 835-7355.

Mikey Thanteraphong is licensed to practice in California (license number 95013063) 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 1437795333.

Contact Information

	Mikey Thanteraphong,
	3175 Old Conejo Rd # 200, Newbury Park, CA 91320-2151
	(818) 835-7355
	Not Available

Map and Direction

Provider's Profile

Full Name	Mikey Thanteraphong
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	3175 Old Conejo Rd # 200, Newbury Park, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mikey Thanteraphong graduated from nursing school in 2016

NPI Data:

NPI Number: 1437795333
Provider Enumeration Date: 11/26/2019
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6507137684
Enrollment ID: I20211027002125

Medical Identifiers

Medical identifiers for Mikey Thanteraphong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437795333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95013063 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agoura Hills Urgentocare Pc	3476981226	9
Anvar Medical Group	4284875451	6

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. Mikey Thanteraphong allows following entities to bill medicare on his behalf.

Entity Name	Anvar Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831539485 PECOS PAC ID: 4284875451 Enrollment ID: O20130731000072

Entity Name	First Aid Urgent Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760889190 PECOS PAC ID: 6709106453 Enrollment ID: O20150520000164

Entity Name	Agoura Hills Urgentocare Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043840465 PECOS PAC ID: 3476981226 Enrollment ID: O20200310001981

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. Mikey Thanteraphong 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
Mikey Thanteraphong, 3175 Old Conejo Rd # 200, Newbury Park, CA 91320-2151 Ph: (818) 835-7355	Mikey Thanteraphong, 3175 Old Conejo Rd # 200, Newbury Park, CA 91320-2151 Ph: (818) 835-7355

Reviews and Comments

Nurse Practitioner Nurses in Newbury Park, CA

Mrs. Bonni Tromello, CFNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 558 N Ventu Park Rd, Suite B, Newbury Park, CA 91320 Phone: 805-480-0499 Fax: 805-480-0866
Mrs. Andrea Louise Horita, BSN, RN, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4603 Calle Norte, Newbury Park, CA 91320 Phone: 818-203-7485
Prof. Priscilla Anne Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3378 Daniel St, Newbury Park, CA 91320 Phone: 805-499-5373 Fax: 805-499-5373
Gina Faruzzi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4275 Via Entrada, Newbury Park, CA 91320 Phone: 805-358-2810
Amanda J Ball, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3184 Lynn Ct, Newbury Park, CA 91320 Phone: 520-465-7277
Gina Marcaccio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4679 Via Grande, Newbury Park, CA 91320 Phone: 818-516-1400

Mikey Thanteraphong, - Medicare Nurse Practitioner in Newbury Park, CA