Ms Tri Ngoc Dam, NURSE PRACTITIONER - Medicare Nurse Practitioner in San Jose, CA

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Ms Tri Ngoc Dam, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. Her current practice location is 87 N 6th St, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 279-1180.

Ms Tri Ngoc Dam is licensed to practice in California (license number 95006901) 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 1649864604.

Contact Information

Ms Tri Ngoc Dam, NURSE PRACTITIONER
87 N 6th St,
San Jose, CA 95112-5423
(408) 279-1180
(408) 279-6745

Map and Direction




Provider's Profile

Full NameMs Tri Ngoc Dam
GenderFemale
SpecialityNurse Practitioner - Family
Location87 N 6th St, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649864604
  • Provider Enumeration Date: 02/21/2021
  • Last Update Date: 02/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426423112
  • Enrollment ID: I20230411002365

Medical Identifiers

Medical identifiers for Ms Tri Ngoc Dam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649864604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95006901 (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. Ms Tri Ngoc Dam allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Ms Tri Ngoc Dam 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
Ms Tri Ngoc Dam, NURSE PRACTITIONER
20449 Times Ave,
Hayward, CA 94541-3745

Ph: (510) 304-4810		Ms Tri Ngoc Dam, NURSE PRACTITIONER
87 N 6th St,
San Jose, CA 95112-5423

Ph: (408) 279-1180

Reviews and Comments


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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.