Channe Bunthung, FNP-C in El Segundo, CA - Medicare Nurse Practitioner

Channe Bunthung, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in El Segundo, California. Her current practice location is 390 N Pacific Coast Hwy, El Segundo, California. You can reach out to her office (for appointments etc.) via phone at (562) 606-9165.

Channe Bunthung is licensed to practice in California (license number 95012449) 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 1669014866.

Contact Information

	Channe Bunthung, FNP-C
	390 N Pacific Coast Hwy, El Segundo, CA 90245-4475
	(562) 606-9165
	Not Available

Map and Direction

Provider's Profile

Full Name	Channe Bunthung
Gender	Female
Speciality	Nurse Practitioner - Family
Location	390 N Pacific Coast Hwy, El Segundo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669014866
Provider Enumeration Date: 10/09/2019
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3274966510
Enrollment ID: I20191127001647

Medical Identifiers

Medical identifiers for Channe Bunthung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669014866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012449 (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. Channe Bunthung allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	American Current Care Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420

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. Channe Bunthung 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
Channe Bunthung, FNP-C 500 Avenue G Apt 3, Redondo Beach, CA 90277-6006 Ph: (562) 606-9165	Channe Bunthung, FNP-C 390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 Ph: (562) 606-9165

Reviews and Comments

Nurse Practitioner Nurses in El Segundo, CA

Kenn Rafanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Megan Puyau, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085
Rachel Spata, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 424-290-8004
Nirlaip Kaur Chahal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Continental Blvd, El Segundo, CA 90245 Phone: 310-658-3775
Mrs. Rani Saiju John, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Continental Blvd Ste 635, El Segundo, CA 90245 Phone: 562-335-2730
Young Shin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671
Rodel Lumanog, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671

Channe Bunthung, FNP-C - Medicare Nurse Practitioner in El Segundo, CA