Phong T Dang, MD in Garden Grove, CA - Medicare Anesthesiology

Phong T Dang, MD is a medicare enrolled "Anesthesiology" physician in Garden Grove, California. His current practice location is 12900a Garden Grove Blvd, Ste #122, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at (714) 636-0342.

Phong T Dang is licensed to practice in California (license number G78903) 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 1932272614.

Contact Information

	Phong T Dang, MD
	12900a Garden Grove Blvd, Ste #122, Garden Grove, CA 92843-2023
	(714) 636-0342
	(714) 636-0391

Map and Direction

Physician's Profile

Full Name	Phong T Dang
Gender	Male
Speciality	Anesthesiology
Location	12900a Garden Grove Blvd, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932272614
Provider Enumeration Date: 11/17/2006
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 5890850416
Enrollment ID: I20090216000295

Medical Identifiers

Medical identifiers for Phong T Dang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932272614	NPI	-	NPPES
050068278	Other	CA	RAILROAD MEDICARE
OOG789030	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G78903 (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. Phong T Dang allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Phong T Dang 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
Phong T Dang, MD Po Box 775, Garden Grove, CA 92842-0775 Ph: (714) 636-0342	Phong T Dang, MD 12900a Garden Grove Blvd, Ste #122, Garden Grove, CA 92843-2023 Ph: (714) 636-0342

Reviews and Comments

Anesthesiology Doctors in Garden Grove, CA

Kyung Kook Ro, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391
James Lee, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-741-2772 Fax: 714-741-3364
Dr. Gene Kyo Oh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, 122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391
Thomas H Ho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391
Dr. Tam-nguyen Thi Pham, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 12900a Garden Grove Blvd, 122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391
Sama Wangsanutr, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, #122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391
Thien T Tarin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, Ste #122, Garden Grove, CA 92842 Phone: 714-636-0342 Fax: 714-636-0391

Phong T Dang, MD - Medicare Anesthesiology in Garden Grove, CA