Thy Anh Tri, CNM, NP is a medicare enrolled "Advanced Practice Midwife" in San Gabriel, California. Her current practice location is
5233 Bartlett Ave, San Gabriel, California. You can reach out to her office (for appointments etc.) via phone at
(626) 297-6794.
Thy Anh Tri is licensed to practice in California (license number 235685) 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 1316340136.
Provider's Profile
| Full Name | Thy Anh Tri |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 5233 Bartlett Ave, San Gabriel, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316340136
- Provider Enumeration Date: 10/07/2014
- Last Update Date: 10/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547533804
- Enrollment ID: I20170907002839
Medical Identifiers
Medical identifiers for Thy Anh Tri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316340136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 235685 (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. Thy Anh Tri allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Thy Anh Tri 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 |
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Thy Anh Tri, CNM, NP
5233 Bartlett Ave,
San Gabriel, CA 91776-2127
Ph: (626) 297-6794 | Thy Anh Tri, CNM, NP
5233 Bartlett Ave,
San Gabriel, CA 91776-2127
Ph: (626) 297-6794 |
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