Tristy Tra Nguyen, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Pennsauken, New Jersey. Her current practice location is
5434 Burwood Ave, Pennsauken, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 857-7198.
Tristy Tra Nguyen is licensed to practice in New Jersey (license number 25MP00617900) 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 1770166357.
Provider's Profile
Full Name | Tristy Tra Nguyen |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5434 Burwood Ave, Pennsauken, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770166357
- Provider Enumeration Date: 05/03/2021
- Last Update Date: 05/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789124801
- Enrollment ID: I20240904001944
Medical Identifiers
Medical identifiers for Tristy Tra Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770166357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 25MP00617900 (New Jersey) | Primary |
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. Tristy Tra Nguyen 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 |
Tristy Tra Nguyen, PHYSICIAN ASSISTANT 5434 Burwood Ave, Pennsauken, NJ 08109-4706 Ph: (856) 857-7198 | Tristy Tra Nguyen, PHYSICIAN ASSISTANT 5434 Burwood Ave, Pennsauken, NJ 08109-4706 Ph: (856) 857-7198 |
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