Khampha Thephavong, DO in Fresno, CA - Medicare Internal Medicine

Khampha Thephavong, DO is a medicare enrolled "Internal Medicine" physician in Fresno, California. Her current practice location is 2823 Fresno St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 459-6000.

Khampha Thephavong is licensed to practice in California (license number 20A9790) 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 1194901173.

Contact Information

	Khampha Thephavong, DO
	2823 Fresno St, Fresno, CA 93721-1324
	(559) 459-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Khampha Thephavong
Gender	Female
Speciality	Internal Medicine
Location	2823 Fresno St, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194901173
Provider Enumeration Date: 01/21/2008
Last Update Date: 08/05/2020

Medicare PECOS Information:

PECOS PAC ID: 7416085766
Enrollment ID: I20100507000304

Medical Identifiers

Medical identifiers for Khampha Thephavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194901173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A9790 (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. Khampha Thephavong allows following entities to bill medicare on her behalf.

Entity Name	Reedley Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336167550 PECOS PAC ID: 0941460984 Enrollment ID: O20201224000078

Entity Name	Community Health Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952912420 PECOS PAC ID: 6608280268 Enrollment ID: O20210122001714

Entity Name	Smartcare Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912588914 PECOS PAC ID: 7012318785 Enrollment ID: O20210701002102

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. Khampha Thephavong 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
Khampha Thephavong, DO 5068 E Home Ave, Fresno, CA 93727-1948 Ph: (805) 234-0871	Khampha Thephavong, DO 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 459-6000

Reviews and Comments

Internal Medicine Doctors in Fresno, CA

Maulik Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4555
Rami Alrezk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 N Fresno St, Fresno, CA 93701 Phone: 559-499-6479
Dr. John R Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7061 N Whitney, Suite 101, Fresno, CA 93720 Phone: 559-299-0224 Fax: 559-299-4201
Dexter T Estrada, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720 Phone: 559-326-1222 Fax: 559-326-1230
Dr. Sherry Lopez, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3209 W Shaw Ave, Suite 114, Fresno, CA 93711 Phone: 559-224-4977 Fax: 559-224-4980
Maria Flordeliz Arambulo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6484 Fax: 559-499-6501
Shreela Mishra, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720 Phone: 559-323-9236 Fax: 559-323-0294

Khampha Thephavong, DO - Medicare Internal Medicine in Fresno, CA