Gary Khammahavong, MD - Medicare Emergency Medicine in Van Nuys, CA

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Gary Khammahavong, MD is a medicare enrolled "Emergency Medicine" physician in Van Nuys, California. He went to Warren Alpert Medical School Of Brown University and graduated in 2018 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians Associates San Jose Pc and his current practice location is 15107 Vanowen St, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at (818) 782-6600.

Gary Khammahavong is licensed to practice in California (license number A175022) 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 1760989636.

Contact Information

Gary Khammahavong, MD
15107 Vanowen St,
Van Nuys, CA 91405-4542
(818) 782-6600
Not Available

Map and Direction




Physician's Profile

Full NameGary Khammahavong
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location15107 Vanowen St, Van Nuys, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary Khammahavong attended and graduated from Warren Alpert Medical School Of Brown University in 2018
  NPI Data:
  • NPI Number: 1760989636
  • Provider Enumeration Date: 04/09/2018
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163760745
  • Enrollment ID: I20220311001505

Medical Identifiers

Medical identifiers for Gary Khammahavong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760989636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD474559 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine A175022 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Clara Valley Medical CenterSan jose, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Physicians Associates San Jose Pc8921344292120

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. Gary Khammahavong allows following entities to bill medicare on his behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588721500
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NamePacifica Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053350975
PECOS PAC ID: 9436058971
Enrollment ID: O20040712001555
Entity NameValley Presbyterian Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033133103
PECOS PAC ID: 1951308105
Enrollment ID: O20061031000344
Entity NameHollywood Presbyterian Emergency Medical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972826931
PECOS PAC ID: 7618006263
Enrollment ID: O20100520000454
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170
Entity NameEmergency Physicians Associates San Jose Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306311576
PECOS PAC ID: 8921344292
Enrollment ID: O20190107003386
Entity NameGem Medical Group Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689364721
PECOS PAC ID: 3072984400
Enrollment ID: O20230124000274

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. Gary Khammahavong 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 AddressPractice Location Address
Gary Khammahavong, MD
185 39th St Apt D104,
Pittsburgh, PA 15201-3235

Ph: (401) 345-0995		Gary Khammahavong, MD
15107 Vanowen St,
Van Nuys, CA 91405-4542

Ph: (818) 782-6600

Reviews and Comments


Emergency Medicine Doctors in Van Nuys, CA

Dr. Geoffrey Michael Smith, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15107 Vanowen St, Van Nuys, CA 91405
Phone: 818-782-6600    
Dr. Frank T. Gillingham, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15107 Vanowen Street, Van Nuys, CA 91405
Phone: 818-902-2990    Fax: 818-904-3793
Dr. Scott K Narimatsu, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15107 Vanowen St, Van Nuys, CA 91405
Phone: 818-782-6600    
Dr. Thomas J. Lambert, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15107 Vanowen Street, Van Nuys, CA 91405
Phone: 818-902-2990    Fax: 818-904-3793
Dr. Homayoun Nassiri, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15107 Vanowen St, Van Nuys, CA 91405
Phone: 818-902-2990    Fax: 818-904-3793
Dr. Jonathan Lyons, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15107 Vanowen St, Van Nuys, CA 91405
Phone: 818-782-6600    
Dr. Paul Strato Batmanis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15107 Vanowen St, Van Nuys, CA 91405
Phone: 818-902-2990    Fax: 818-904-3793

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.