Khanh Ngoc Phuong Mai, - Medicare Nurse Practitioner in Anaheim, CA

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Khanh Ngoc Phuong Mai, is a medicare enrolled "Nurse Practitioner - Family" in Anaheim, California. Her current practice location is 9918 Katella Ave Ste A-c, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (800) 597-7977.

Khanh Ngoc Phuong Mai is licensed to practice in California (license number 95008602) 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 1659869188.

Contact Information

Khanh Ngoc Phuong Mai,
9918 Katella Ave Ste A-c,
Anaheim, CA 92804-6465
(800) 597-7977
(714) 644-9894

Map and Direction




Provider's Profile

Full NameKhanh Ngoc Phuong Mai
GenderFemale
SpecialityNurse Practitioner - Family
Location9918 Katella Ave Ste A-c, Anaheim, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659869188
  • Provider Enumeration Date: 04/30/2018
  • Last Update Date: 06/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901275981
  • Enrollment ID: I20221214000737

Medical Identifiers

Medical identifiers for Khanh Ngoc Phuong Mai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659869188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95008602 (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. Khanh Ngoc Phuong Mai allows following entities to bill medicare on her behalf.
Entity NameMission City Community Network, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710102009
PECOS PAC ID: 1658264684
Enrollment ID: O20040204000544
Entity NameComplete Care Community Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215113964
PECOS PAC ID: 3779494190
Enrollment ID: O20080521000478
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100318000835
Entity NameFoothills Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100414000905

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. Khanh Ngoc Phuong Mai 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
Khanh Ngoc Phuong Mai,
661 W 1st St Ste G,
Tustin, CA 92780-2939

Ph: (714) 665-9890		Khanh Ngoc Phuong Mai,
9918 Katella Ave Ste A-c,
Anaheim, CA 92804-6465

Ph: (800) 597-7977

Reviews and Comments


Nurse Practitioner Nurses in Anaheim, CA

Sharuti Dolly Bhatia,
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Grace Wiryawan, NP
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Practice Location: 801 E Katella Ave, Anaheim, CA 92805
Phone: 714-633-6373    
William Camacho, PMHNP-BC, RN
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Phone: 714-243-9000    
Cristian Cuevas, PMHNP
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Phone: 714-485-0354    
Mr. William George Woods, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801
Phone: 714-772-8282    Fax: 714-772-6493

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.