Virginia Inthavong, FNP in Modesto, CA - Medicare Nurse Practitioner

Virginia Inthavong, FNP is a medicare enrolled "Nurse Practitioner - Family" in Modesto, California. Her current practice location is 1717 Las Vegas St, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (866) 682-4842.

Virginia Inthavong is licensed to practice in California (license number 95013866) 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 1932741139.

Contact Information

	Virginia Inthavong, FNP
	1717 Las Vegas St, Modesto, CA 95358-5500
	(866) 682-4842
	(866) 234-5550

Map and Direction

Provider's Profile

Full Name	Virginia Inthavong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1717 Las Vegas St, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932741139
Provider Enumeration Date: 10/09/2019
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8820320872
Enrollment ID: I20191024002358

Medical Identifiers

Medical identifiers for Virginia Inthavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932741139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95013866 (California)	Primary
363L00000X	Nurse Practitioner	XXXXXX (Kansas)	Secondary

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. Virginia Inthavong allows following entities to bill medicare on her behalf.

Entity Name	Ivxpress Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801025481 PECOS PAC ID: 1850530346 Enrollment ID: O20140115000955

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. Virginia Inthavong 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
Virginia Inthavong, FNP 2012 Landing Ct, Modesto, CA 95357-0857 Ph: () -	Virginia Inthavong, FNP 1717 Las Vegas St, Modesto, CA 95358-5500 Ph: (866) 682-4842

Reviews and Comments

Nurse Practitioner Nurses in Modesto, CA

Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566
Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200

Virginia Inthavong, FNP - Medicare Nurse Practitioner in Modesto, CA