Se Yeon Kang, MSN, APRN, FNP-C in Palmdale, CA

Se Yeon Kang, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Palmdale, California. Her current practice location is 819 Auto Center Dr, Palmdale, California. You can reach out to her office (for appointments etc.) via phone at (661) 267-6876.

Se Yeon Kang is licensed to practice in California (license number 95017605) 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 1699380667.

Contact Information

	Se Yeon Kang, MSN, APRN, FNP-C
	819 Auto Center Dr, Palmdale, CA 93551-4599
	(661) 267-6876
	Not Available

Map and Direction

Provider's Profile

Full Name	Se Yeon Kang
Gender	Female
Speciality	Nurse Practitioner - Family
Location	819 Auto Center Dr, Palmdale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699380667
Provider Enumeration Date: 09/15/2020
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 5597185298
Enrollment ID: I20201019002494

Medical Identifiers

Medical identifiers for Se Yeon Kang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699380667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024180089 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	95017605 (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. Se Yeon Kang allows following entities to bill medicare on her behalf.

Entity Name	Ahmed Elebiary Md
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043789423 PECOS PAC ID: 0840525572 Enrollment ID: O20190717001579

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. Se Yeon Kang 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
Se Yeon Kang, MSN, APRN, FNP-C 6677 Santa Monica Blvd Apt 2521, Los Angeles, CA 90038-1498 Ph: (703) 888-9025	Se Yeon Kang, MSN, APRN, FNP-C 819 Auto Center Dr, Palmdale, CA 93551-4599 Ph: (661) 267-6876

Reviews and Comments

Nurse Practitioner Nurses in Palmdale, CA

Wendy Macedo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150
Kent Elias Perttula, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38600 Medical Center Dr, Palmdale, CA 93551 Phone: 805-338-3282
Dongyon Roh, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 819 Auto Center Dr, Palmdale, CA 93551 Phone: 661-267-6876
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786
Miss Stacey Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300

Se Yeon Kang, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Palmdale, CA