Nathan Thien Phuc Ngo, in Orange, CA - Medicare Registered Nurse

Nathan Thien Phuc Ngo, is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Orange, California. His current practice location is 265 S Anita Dr Ste 102-104, Orange, California. You can reach out to his office (for appointments etc.) via phone at (310) 945-3350.

Nathan Thien Phuc Ngo is licensed to practice in California (license number 95220955) 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 1043935380.

Contact Information

	Nathan Thien Phuc Ngo,
	265 S Anita Dr Ste 102-104, Orange, CA 92868-3355
	(310) 945-3350
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan Thien Phuc Ngo
Gender	Male
Speciality	Registered Nurse - Psychiatric/mental Health
Location	265 S Anita Dr Ste 102-104, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043935380
Provider Enumeration Date: 10/10/2022
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6204280852
Enrollment ID: I20230929003032

Medical Identifiers

Medical identifiers for Nathan Thien Phuc Ngo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043935380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95220955 (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. Nathan Thien Phuc Ngo allows following entities to bill medicare on his behalf.

Entity Name	Jason Kellogg Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131

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. Nathan Thien Phuc Ngo 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
Nathan Thien Phuc Ngo, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350	Nathan Thien Phuc Ngo, 265 S Anita Dr Ste 102-104, Orange, CA 92868-3355 Ph: (310) 945-3350

Reviews and Comments

Registered Nurse Nurses in Orange, CA

Ms. Kimberly Elizabeth Azizadah, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 331 The City Dr S, Orange, CA 92868 Phone: 714-935-7131
Ana Maureen Grama Cordero, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 265 S Anita Dr Ste 102-104, Orange, CA 92868 Phone: 310-945-3350 Fax: 310-945-3356
Daisy Mendoza-flores, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 S Tustin St, Orange, CA 92866 Phone: 714-633-6373 Fax: 866-886-7824
Rossean Cusay Rossel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 W Metropolitan Dr, Orange, CA 92868 Phone: 866-830-6011
Catherine Stolrow, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 N Lewis St, Orange, CA 92868 Phone: 714-748-2665
Gretchen Zablan Aguro, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 265 S Anita Dr Ste 106, Orange, CA 92868 Phone: 310-945-3350
Rita L Ceja, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8068 Fax: 714-456-3765

Nathan Thien Phuc Ngo, - Medicare Registered Nurse in Orange, CA