Tae Yoon Won, NURSE PRACTITIONER in Stanton, CA

Tae Yoon Won, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Stanton, California. His current practice location is 12362 Beach Blvd Ste 10, Stanton, California. You can reach out to his office (for appointments etc.) via phone at (714) 248-9500.

Tae Yoon Won is licensed to practice in California (license number 95022157) 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 1356035653.

Contact Information

	Tae Yoon Won, NURSE PRACTITIONER
	12362 Beach Blvd Ste 10, Stanton, CA 90680-3944
	(714) 248-9500
	Not Available

Map and Direction

Provider's Profile

Full Name	Tae Yoon Won
Gender	Male
Speciality	Nurse Practitioner
Location	12362 Beach Blvd Ste 10, Stanton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356035653
Provider Enumeration Date: 06/08/2023
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5799145678
Enrollment ID: I20230724004056

Medical Identifiers

Medical identifiers for Tae Yoon Won such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356035653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95022157 (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. Tae Yoon Won allows following entities to bill medicare on his behalf.

Entity Name	Livingstone Community Development Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952662686 PECOS PAC ID: 9931323706 Enrollment ID: O20140724002386

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. Tae Yoon Won 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
Tae Yoon Won, NURSE PRACTITIONER 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944 Ph: (714) 248-9500	Tae Yoon Won, NURSE PRACTITIONER 12362 Beach Blvd Ste 10, Stanton, CA 90680-3944 Ph: (714) 248-9500

Reviews and Comments

Nurse Practitioner Nurses in Stanton, CA

Ms. Heejin Emily Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500
Anna Jang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500
Karen Francisco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lantana Dr, Stanton, CA 90680 Phone: 760-912-5566
Ms. Lucie Fatima Darocha, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10460 E Briar Oaks Dr Apt B, Stanton, CA 90680 Phone: 562-607-4866
Mr. Collin Yamaka, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 Fax: 714-622-4943
Yvett Yoon Kim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12362 Beach Blvd Ste 10, Stanton, CA 90680 Phone: 714-248-9500 Fax: 714-622-4943

Tae Yoon Won, NURSE PRACTITIONER - Medicare Nurse Practitioner in Stanton, CA