Nicollette Sokoeun Buth, DNP, AGACNP-BC in Long Beach, CA

Nicollette Sokoeun Buth, DNP, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Long Beach, California. Her current practice location is 3828 Schaufele Avenue, Ste 200, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (657) 241-8990.

Nicollette Sokoeun Buth is licensed to practice in California (license number 95015167) 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 1184237372.

Contact Information

	Nicollette Sokoeun Buth, DNP, AGACNP-BC
	3828 Schaufele Avenue, Ste 200, Long Beach, CA 90808
	(657) 241-8990
	(714) 665-4664

Map and Direction

Provider's Profile

Full Name	Nicollette Sokoeun Buth
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3828 Schaufele Avenue, Ste 200, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184237372
Provider Enumeration Date: 08/26/2020
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 9537538517
Enrollment ID: I20221214000746

Medical Identifiers

Medical identifiers for Nicollette Sokoeun Buth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184237372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95015167 (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. Nicollette Sokoeun Buth allows following entities to bill medicare on her behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Nicollette Sokoeun Buth 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
Nicollette Sokoeun Buth, DNP, AGACNP-BC 3828 Schaufele Avenue, Ste 200, Long Beach, CA 90808 Ph: (657) 241-8990	Nicollette Sokoeun Buth, DNP, AGACNP-BC 3828 Schaufele Avenue, Ste 200, Long Beach, CA 90808 Ph: (657) 241-8990

Reviews and Comments

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Nicollette Sokoeun Buth, DNP, AGACNP-BC - Medicare Nurse Practitioner in Long Beach, CA