Mikey Thanteraphong, in Agoura Hills, CA

Mikey Thanteraphong, is a medicare enrolled "Nurse Practitioner" in Agoura Hills, California. His current practice location is Po Box 336, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 835-7355.

Mikey Thanteraphong is licensed to practice in California (license number 95013063) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437795333.

Contact Information

	Mikey Thanteraphong,
	Po Box 336, Agoura Hills, CA 91376-0336
	(818) 835-7355
	Not Available

Map and Direction

Provider's Profile

Full Name	Mikey Thanteraphong
Gender	Male
Speciality
Experience	Years
Location	Po Box 336, Agoura Hills, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mikey Thanteraphong attended and graduated from in

NPI Data:

NPI Number: 1437795333
Provider Enumeration Date: 11/26/2019
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mikey Thanteraphong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437795333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95013063 (California)	Primary

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. Mikey Thanteraphong 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
Mikey Thanteraphong, Po Box 336, Agoura Hills, CA 91376-0336 Ph: (818) 835-7355	Mikey Thanteraphong, Po Box 336, Agoura Hills, CA 91376-0336 Ph: (818) 835-7355

Reviews and Comments

Nurse Practitioner Nurses in Agoura Hills, CA

Aryan Jamali, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30423 Canwood St Ste 225, Agoura Hills, CA 91301 Phone: 818-871-9518 Fax: 818-871-9521
Collette Lee King, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St, Suite 300, Agoura Hills, CA 91301 Phone: 818-706-2477 Fax: 818-706-2368
Jennifer Rusnanto Ng, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 200, Agoura Hills, CA 91301 Phone: 818-699-6553
Young Tae Lee, PNHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30423 Canwood St Ste 123, Agoura Hills, CA 91301 Phone: 818-385-1219 Fax: 818-385-1600
Eunice Fernandez, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5623 Kanan Rd, Agoura Hills, CA 91301 Phone: 818-991-5522
Sara Vaghar, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778 Fax: 415-296-5299
Kristina Dino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30497 Canwood St Ste 200, Agoura Hills, CA 91301 Phone: 818-206-3066

Mikey Thanteraphong, - Medicare in Agoura Hills, CA