Kandavin Thong, in Banning, CA - Medicare Nurse Practitioner

Kandavin Thong, is a medicare enrolled "Nurse Practitioner - Family" in Banning, California. Her current practice location is 6109 W Ramsey St, Banning, California. You can reach out to her office (for appointments etc.) via phone at (951) 845-0313.

Kandavin Thong is licensed to practice in California (license number 95022634) 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 1609457753.

Contact Information

	Kandavin Thong,
	6109 W Ramsey St, Banning, CA 92220-3051
	(951) 845-0313
	Not Available

Map and Direction

Provider's Profile

Full Name	Kandavin Thong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6109 W Ramsey St, Banning, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609457753
Provider Enumeration Date: 04/20/2021
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0042683575
Enrollment ID: I20230303002154

Medical Identifiers

Medical identifiers for Kandavin Thong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609457753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95022634 (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. Kandavin Thong allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

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. Kandavin Thong 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
Kandavin Thong, Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Kandavin Thong, 6109 W Ramsey St, Banning, CA 92220-3051 Ph: (951) 845-0313

Reviews and Comments

Nurse Practitioner Nurses in Banning, CA

Mrs. Marie Antoinette Tanare Lucco, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 760-413-3755
Kevin Simmons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191
Monemala Philavong-danh, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 W Ramsey St, Banning, CA 92220 Phone: 951-849-1950
Laura A Macmanus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 951-845-6993
Susan Jane Sheedy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-846-0313
Kelly Marie Stormes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313
Donald Byron Beeler Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 909-864-1097

Kandavin Thong, - Medicare Nurse Practitioner in Banning, CA