Dr San Francisco Kim Nguyen, DO is a medicare enrolled "Emergency Medicine" physician in Wahiawa, Hawaii. His current practice location is
681 Leilehua Rd Bldgs 680, Wahiawa, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 656-1628.
Dr San Francisco Kim Nguyen is licensed to practice in Washington (license number OP61389308) 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 1528448024.
Physician's Profile
| Full Name | Dr San Francisco Kim Nguyen |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 681 Leilehua Rd Bldgs 680, Wahiawa, Hawaii |
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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: 1528448024
- Provider Enumeration Date: 06/01/2015
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002236999
- Enrollment ID: I20201014002471
Medical Identifiers
Medical identifiers for Dr San Francisco Kim Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528448024 | NPI | - | NPPES |
| 2250908 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | DOS-2053 (Hawaii) | Secondary |
| 207P00000X | Emergency Medicine | 00009098 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | OP61389308 (Washington) | 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. Dr San Francisco Kim Nguyen allows following entities to bill medicare on his behalf.
| Entity Name | Straub Clinic & Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457306508
PECOS PAC ID: 6305759754
Enrollment ID: O20031111000417 |
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| Entity Name | Kauai Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540 |
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| Entity Name | Emergency Medicine Physicians Of Honolulu Pali Momi Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699076976
PECOS PAC ID: 8729267075
Enrollment ID: O20110119000867 |
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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. Dr San Francisco Kim Nguyen 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 |
|---|
Dr San Francisco Kim Nguyen, DO
681 Leilehua Rd Bldgs 680,
Wahiawa, HI 96786
Ph: (808) 656-1628 | Dr San Francisco Kim Nguyen, DO
681 Leilehua Rd Bldgs 680,
Wahiawa, HI 96786-9678
Ph: (808) 656-1628 |
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