Nathan Thien Phuc Ngo, in Orange, CA - Medicare Nurse Practitioner

Nathan Thien Phuc Ngo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orange, California. His current practice location is 265 S Anita Dr Ste 102-104, Orange, California. You can reach out to his office (for appointments etc.) via phone at (310) 945-3350.

Nathan Thien Phuc Ngo is licensed to practice in California (license number 95025180) 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 1043935380.

Contact Information

	Nathan Thien Phuc Ngo,
	265 S Anita Dr Ste 102-104, Orange, CA 92868-3355
	(310) 945-3350
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan Thien Phuc Ngo
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	265 S Anita Dr Ste 102-104, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043935380
Provider Enumeration Date: 10/10/2022
Last Update Date: 06/22/2024

Medicare PECOS Information:

PECOS PAC ID: 6204280852
Enrollment ID: I20230929003032

Medical Identifiers

Medical identifiers for Nathan Thien Phuc Ngo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043935380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95220955 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95025180 (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. Nathan Thien Phuc Ngo allows following entities to bill medicare on his behalf.

Entity Name	Jason Kellogg Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131

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. Nathan Thien Phuc Ngo 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
Nathan Thien Phuc Ngo, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350	Nathan Thien Phuc Ngo, 265 S Anita Dr Ste 102-104, Orange, CA 92868-3355 Ph: (310) 945-3350

Reviews and Comments

Nurse Practitioner Nurses in Orange, CA

Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277
Sarah Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8000
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715
Anna Katrina Cruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812

Nathan Thien Phuc Ngo, - Medicare Nurse Practitioner in Orange, CA