Sourihna Khounphichane, in Sherman Oaks, CA - Medicare Nurse Practitioner

Sourihna Khounphichane, is a medicare enrolled "Nurse Practitioner - Family" in Sherman Oaks, California. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Global Wound Care Medical Group and his current practice location is 4912 Kester Ave Apt 106, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (847) 271-3145.

Sourihna Khounphichane is licensed to practice in California (license number 95014199) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427641513.

Contact Information

	Sourihna Khounphichane,
	4912 Kester Ave Apt 106, Sherman Oaks, CA 91403-1690
	(847) 271-3145
	Not Available

Map and Direction

Provider's Profile

Full Name	Sourihna Khounphichane
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	4912 Kester Ave Apt 106, Sherman Oaks, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sourihna Khounphichane graduated from nursing school in 2017

NPI Data:

NPI Number: 1427641513
Provider Enumeration Date: 02/19/2021
Last Update Date: 02/19/2021

Medicare PECOS Information:

PECOS PAC ID: 5092114306
Enrollment ID: I20210518002462

Medical Identifiers

Medical identifiers for Sourihna Khounphichane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427641513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014199 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Global Wound Care Medical Group	9335504539	147

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. Sourihna Khounphichane allows following entities to bill medicare on his behalf.

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871

Entity Name	American Wound Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772

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. Sourihna Khounphichane 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
Sourihna Khounphichane, 4912 Kester Ave Apt 106, Sherman Oaks, CA 91403-1690 Ph: (847) 271-3145	Sourihna Khounphichane, 4912 Kester Ave Apt 106, Sherman Oaks, CA 91403-1690 Ph: (847) 271-3145

Reviews and Comments

Nurse Practitioner Nurses in Sherman Oaks, CA

Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453
Arianna Tang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14322 Dickens St Unit 8, Sherman Oaks, CA 91423 Phone: 760-995-6972
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026
Christopher Gerard Negrete, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4911 Van Nuys Blvd Ste 102, Sherman Oaks, CA 91403 Phone: 818-981-7111

Sourihna Khounphichane, - Medicare Nurse Practitioner in Sherman Oaks, CA