Samantha Tangchaiburana, in Los Angeles, CA - Medicare Nurse Practitioner

Samantha Tangchaiburana, is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ucla Radiology Medical Group and her current practice location is 100 Ucla Medical Plz Ste 100, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 481-7545.

Samantha Tangchaiburana is licensed to practice in California (license number 95001107) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346649928.

Contact Information

	Samantha Tangchaiburana,
	100 Ucla Medical Plz Ste 100, Los Angeles, CA 90024-7000
	(310) 481-7545
	(310) 497-9070

Map and Direction

Provider's Profile

Full Name	Samantha Tangchaiburana
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	100 Ucla Medical Plz Ste 100, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Tangchaiburana graduated from nursing school in 2014

NPI Data:

NPI Number: 1346649928
Provider Enumeration Date: 08/19/2014
Last Update Date: 12/19/2019

Medicare PECOS Information:

PECOS PAC ID: 0648534511
Enrollment ID: I20180430001736

Medical Identifiers

Medical identifiers for Samantha Tangchaiburana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346649928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	758670 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95001107 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ucla Radiology Medical Group	8921902065	182

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. Samantha Tangchaiburana allows following entities to bill medicare on her behalf.

Entity Name	Ucla Radiology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881670248 PECOS PAC ID: 8921902065 Enrollment ID: O20031120001026

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. Samantha Tangchaiburana 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
Samantha Tangchaiburana, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (301) 758-9683	Samantha Tangchaiburana, 100 Ucla Medical Plz Ste 100, Los Angeles, CA 90024-7000 Ph: (310) 481-7545

Reviews and Comments

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Samantha Tangchaiburana, - Medicare Nurse Practitioner in Los Angeles, CA