Diep Vuong, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Loma Linda, California. Her current practice location is
11406 Loma Linda Dr Ste 516, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at
(909) 558-6204.
Diep Vuong is licensed to practice in California (license number 1114371028) 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 1114371028.
Physician's Profile
| Full Name | Diep Vuong |
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| Gender | Female |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 11406 Loma Linda Dr Ste 516, Loma Linda, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114371028
- Provider Enumeration Date: 04/17/2016
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850781568
- Enrollment ID: I20211210001361
Medical Identifiers
Medical identifiers for Diep Vuong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114371028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 1114371028 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 1114371028 (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. Diep Vuong allows following entities to bill medicare on her behalf.
| Entity Name | Integrative Sports And Spine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245630557
PECOS PAC ID: 7012230212
Enrollment ID: O20141218002535 |
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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. Diep Vuong 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 |
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Diep Vuong, MD
11234 Anderson St, Gme Office Westerly Suite 'c',
Loma Linda, CA 92354-2804
Ph: () - | Diep Vuong, MD
11406 Loma Linda Dr Ste 516,
Loma Linda, CA 92354-3711
Ph: (909) 558-6204 |
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