Phong Thanh Nguyen, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Fort Bliss, Texas. His current practice location is
18511 Highlander Medics St, Fort Bliss, Texas. You can reach out to his office (for appointments etc.) via phone at
(915) 742-7777.
Phong Thanh Nguyen is licensed to practice in * (Not Available) (license number ) 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 1164885133.
Provider's Profile
Full Name | Phong Thanh Nguyen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 18511 Highlander Medics St, Fort Bliss, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164885133
- Provider Enumeration Date: 03/29/2016
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406143247
- Enrollment ID: I20160922001449
Medical Identifiers
Medical identifiers for Phong Thanh Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164885133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP130529 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Phong Thanh Nguyen allows following entities to bill medicare on his behalf.
Entity Name | Salud Y Vida, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043287287 PECOS PAC ID: 9830115229 Enrollment ID: O20051014000440 |
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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. Phong Thanh Nguyen 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 |
Phong Thanh Nguyen, MD 18511 Highland Medics St, Fort Bliss, TX 79918 Ph: () - | Phong Thanh Nguyen, MD 18511 Highlander Medics St, Fort Bliss, TX 79906-5327 Ph: (915) 742-7777 |
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