Miss Sekboppa Sor, FNP-C in Garden Grove, CA - Medicare Nurse Practitioner

Miss Sekboppa Sor, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Garden Grove, California. Her current practice location is An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 633-4600.

Miss Sekboppa Sor is licensed to practice in California (license number 95011130) 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 1376005934.

Contact Information

	Miss Sekboppa Sor, FNP-C
	An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840
	(714) 633-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Sekboppa Sor
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	An Lanh Free Clinic, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376005934
Provider Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019

Medicare PECOS Information:

PECOS PAC ID: 6507109253
Enrollment ID: I20190520002716

Medical Identifiers

Medical identifiers for Miss Sekboppa Sor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376005934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95011130 (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. Miss Sekboppa Sor allows following entities to bill medicare on her behalf.

Entity Name	Hoag Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936

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. Miss Sekboppa Sor 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
Miss Sekboppa Sor, FNP-C 3450 Sawtelle Blvd., Apt. 349, Los Angeles, CA 90066 Ph: (401) 286-4029	Miss Sekboppa Sor, FNP-C An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 Ph: (714) 633-4600

Reviews and Comments

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Susan Jean Reynolds, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844 Phone: 714-663-6411 Fax: 714-663-6470

Miss Sekboppa Sor, FNP-C - Medicare Nurse Practitioner in Garden Grove, CA