Paul Sugiharto, in Alhambra, CA - Medicare Nurse Practitioner

Paul Sugiharto, is a medicare enrolled "Nurse Practitioner - Family" in Alhambra, California. His current practice location is 425 W Main St Ste 101, Alhambra, California. You can reach out to his office (for appointments etc.) via phone at (626) 382-1252.

Paul Sugiharto is licensed to practice in California (license number NP95010196) 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 1619445665.

Contact Information

	Paul Sugiharto,
	425 W Main St Ste 101, Alhambra, CA 91801-7439
	(626) 382-1252
	Not Available

Map and Direction

Provider's Profile

Full Name	Paul Sugiharto
Gender	Male
Speciality	Nurse Practitioner - Family
Location	425 W Main St Ste 101, Alhambra, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619445665
Provider Enumeration Date: 11/07/2018
Last Update Date: 02/23/2023

Medicare PECOS Information:

PECOS PAC ID: 9931531977
Enrollment ID: I20191113002725

Medical Identifiers

Medical identifiers for Paul Sugiharto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619445665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	744628 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95010196 (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. Paul Sugiharto allows following entities to bill medicare on his behalf.

Entity Name	Stephen P Chen Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841517067 PECOS PAC ID: 3173649696 Enrollment ID: O20100922000021

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. Paul Sugiharto 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
Paul Sugiharto, 12143 Lambert Ave, El Monte, CA 91732-2055 Ph: (626) 590-1404	Paul Sugiharto, 425 W Main St Ste 101, Alhambra, CA 91801-7439 Ph: (626) 382-1252

Reviews and Comments

Nurse Practitioner Nurses in Alhambra, CA

Vivien Chan Trieu, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1917 Edgewood Dr, Alhambra, CA 91803 Phone: 626-203-8889
Hsing-chun Hsieh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 S Chapel Ave Apt V, Alhambra, CA 91801 Phone: 626-399-3423
Yuan Yao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 S Garfield Ave, Alhambra, CA 91801 Phone: 626-282-0282
Jackeline Tekin, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2835 W Valley Blvd, Alhambra, CA 91803 Phone: 626-281-3265
Mrs. Rosario Maria Aguilar-tanphanich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 La Golondrina Ave, Alhambra, CA 91803 Phone: 626-476-8462
Thuy M Nguyen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2102 San Clemente Ave, Alhambra, CA 91803 Phone: 323-580-3076
Courtenay Lynn Juliano, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 E Huntington Dr Ste 209, Alhambra, CA 91801 Phone: 323-264-7796

Paul Sugiharto, - Medicare Nurse Practitioner in Alhambra, CA