Hoang Diep Thi Nguyen, FNP-C is a medicare enrolled "Family Medicine" physician in Youngtown, Arizona. Her current practice location is
11534 W Longley Ln, Youngtown, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 865-3570.
Hoang Diep Thi Nguyen is licensed to practice in Arizona (license number PN222539) 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 1740751312.
Physician's Profile
| Full Name | Hoang Diep Thi Nguyen |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 11534 W Longley Ln, Youngtown, Arizona |
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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: 1740751312
- Provider Enumeration Date: 12/07/2018
- Last Update Date: 08/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 6507266848
- Enrollment ID: I20210608003651
Medical Identifiers
Medical identifiers for Hoang Diep Thi Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740751312 | NPI | - | NPPES |
| F11180858 | Other | | AANP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PN222539 (Arizona) | 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. Hoang Diep Thi Nguyen allows following entities to bill medicare on her behalf.
| Entity Name | Ternion Physician Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013466192
PECOS PAC ID: 6709157589
Enrollment ID: O20170814001018 |
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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. Hoang Diep Thi 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 |
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Hoang Diep Thi Nguyen, FNP-C
11534 W Longley Ln,
Youngtown, AZ 85363-1714
Ph: () - | Hoang Diep Thi Nguyen, FNP-C
11534 W Longley Ln,
Youngtown, AZ 85363-1714
Ph: (602) 865-3570 |
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