Vivien T Thach, AGNP-C in Fullerton, CA - Medicare Nurse Practitioner

Vivien T Thach, AGNP-C is a medicare enrolled "Nurse Practitioner" in Fullerton, California. Her current practice location is 501 S Brookhurst Rd, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at (714) 870-0717.

Vivien T Thach is licensed to practice in California (license number 95003756) 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 1427416841.

Contact Information

	Vivien T Thach, AGNP-C
	501 S Brookhurst Rd, Fullerton, CA 92833-3207
	(714) 870-0717
	Not Available

Map and Direction

Provider's Profile

Full Name	Vivien T Thach
Gender	Female
Speciality	Nurse Practitioner
Location	501 S Brookhurst Rd, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427416841
Provider Enumeration Date: 01/29/2016
Last Update Date: 02/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6507156577
Enrollment ID: I20160602002269

Medical Identifiers

Medical identifiers for Vivien T Thach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427416841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95003756 (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. Vivien T Thach allows following entities to bill medicare on her behalf.

Entity Name	Reproductive Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508977414 PECOS PAC ID: 2961471982 Enrollment ID: O20040927001170

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. Vivien T Thach 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
Vivien T Thach, AGNP-C 9402 Russell Ave, Garden Grove, CA 92844-2327 Ph: () -	Vivien T Thach, AGNP-C 501 S Brookhurst Rd, Fullerton, CA 92833-3207 Ph: (714) 870-0717

Reviews and Comments

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Vivien T Thach, AGNP-C - Medicare Nurse Practitioner in Fullerton, CA