Poline Chhun Engeman X, NP in Sacramento, CA - Medicare Nurse Practitioner

Poline Chhun Engeman X, NP is a medicare enrolled "Nurse Practitioner" in Sacramento, California. Her current practice location is 6600 Bruceville Rd, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 688-2520.

Poline Chhun Engeman X is licensed to practice in California (license number 95014558) 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 1134747306.

Contact Information

	Poline Chhun Engeman X, NP
	6600 Bruceville Rd, Sacramento, CA 95823-4671
	(916) 688-2520
	Not Available

Map and Direction

Provider's Profile

Full Name	Poline Chhun Engeman X
Gender	Female
Speciality	Nurse Practitioner
Location	6600 Bruceville Rd, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134747306
Provider Enumeration Date: 07/13/2020
Last Update Date: 11/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5395159594
Enrollment ID: I20210129001319

Medical Identifiers

Medical identifiers for Poline Chhun Engeman X such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134747306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95014558 (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. Poline Chhun Engeman X allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Poline Chhun Engeman X 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
Poline Chhun Engeman X, NP 5900 Shepard Ave, Sacramento, CA 95819-2540 Ph: (209) 471-1549	Poline Chhun Engeman X, NP 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: (916) 688-2520

Reviews and Comments

Nurse Practitioner Nurses in Sacramento, CA

Sumon Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145
Elena Walterman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387
Ilana Lee Abramowitz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2230 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3574
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682
Ashena Varani, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3840 Watt Ave, Suite E, Sacramento, CA 95821 Phone: 916-488-6200 Fax: 916-488-6300

Poline Chhun Engeman X, NP - Medicare Nurse Practitioner in Sacramento, CA