Mrs Victoria Pham Randazzo, PHD, AG-NP, RN in Tustin, CA

Mrs Victoria Pham Randazzo, PHD, AG-NP, RN is a medicare enrolled "Nurse Practitioner - Gerontology" in Tustin, California. Her current practice location is 13522 Newport Ave Ste 102, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 573-8200.

Mrs Victoria Pham Randazzo is licensed to practice in California (license number 95012573) 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 1245889310.

Contact Information

	Mrs Victoria Pham Randazzo, PHD, AG-NP, RN
	13522 Newport Ave Ste 102, Tustin, CA 92780-3707
	(714) 573-8200
	(714) 573-9401

Map and Direction

Provider's Profile

Full Name	Mrs Victoria Pham Randazzo
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	13522 Newport Ave Ste 102, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245889310
Provider Enumeration Date: 09/10/2019
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 5799119665
Enrollment ID: I20200806003034

Medical Identifiers

Medical identifiers for Mrs Victoria Pham Randazzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245889310	NPI	-	NPPES
95012573	Other	CA	NURSE PRACTITIONER FURNISHING LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95012573 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95012573 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95012573 (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. Mrs Victoria Pham Randazzo allows following entities to bill medicare on her behalf.

Entity Name	Chest And Critical Care Consultants A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598852717 PECOS PAC ID: 7911987961 Enrollment ID: O20040721001161

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. Mrs Victoria Pham Randazzo 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
Mrs Victoria Pham Randazzo, PHD, AG-NP, RN 7745 E Walnut Ridge Rd, Orange, CA 92869-6515 Ph: (714) 743-9494	Mrs Victoria Pham Randazzo, PHD, AG-NP, RN 13522 Newport Ave Ste 102, Tustin, CA 92780-3707 Ph: (714) 573-8200

Reviews and Comments

Nurse Practitioner Nurses in Tustin, CA

Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800
Aishah Mandeel, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676
Jonathan Ramonty Chhean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598
Amanda Joy Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878

Mrs Victoria Pham Randazzo, PHD, AG-NP, RN - Medicare Nurse Practitioner in Tustin, CA