Ricky Nguyen Phan, ACNP - Medicare Nurse Practitioner in Garden Grove, CA

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Ricky Nguyen Phan, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Garden Grove, California. His current practice location is 13591 Bowen St, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at (714) 261-7813.

Ricky Nguyen Phan is licensed to practice in California (license number 95006779) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740700350.

Contact Information

Ricky Nguyen Phan, ACNP
13591 Bowen St,
Garden Grove, CA 92843-3223
(714) 261-7813
(714) 261-7813

Map and Direction




Provider's Profile

Full NameRicky Nguyen Phan
GenderMale
SpecialityNurse Practitioner - Acute Care
Location13591 Bowen St, Garden Grove, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740700350
  • Provider Enumeration Date: 06/24/2017
  • Last Update Date: 11/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901163518
  • Enrollment ID: I20171206000975

Medical Identifiers

Medical identifiers for Ricky Nguyen Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740700350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95006779 (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. Ricky Nguyen Phan allows following entities to bill medicare on his behalf.
Entity NameMeher F Tabatabai M D Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104095942
PECOS PAC ID: 3173695111
Enrollment ID: O20080708000190
Entity NameBel Air Critical Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396268041
PECOS PAC ID: 4385917491
Enrollment ID: O20170911002793
Entity NameSt. Joseph Intensivist Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801302484
PECOS PAC ID: 6608137757
Enrollment ID: O20180306001106
Entity NameWillow Brook Critical Care Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811520224
PECOS PAC ID: 3476975319
Enrollment ID: O20200622002378
Entity NameArcadia Intensivist Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598361669
PECOS PAC ID: 9537574223
Enrollment ID: O20210210000588

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. Ricky Nguyen Phan 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
Ricky Nguyen Phan, ACNP
13591 Bowen St,
Garden Grove, CA 92843-3223

Ph: (714) 261-7813		Ricky Nguyen Phan, ACNP
13591 Bowen St,
Garden Grove, CA 92843-3223

Ph: (714) 261-7813

Reviews and Comments


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Barbara C Kenerson, PMHNP-BC
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Susan Jean Reynolds, RN, CPNP
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Phone: 714-663-6411    Fax: 714-663-6470

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.