Mrs Brittany Lang Bongga, NP in Fontana, CA - Medicare Nurse Practitioner

Mrs Brittany Lang Bongga, NP is a medicare enrolled "Nurse Practitioner - Family" in Fontana, California. Her current practice location is 17051 Sierra Lakes Pkwy Ste 101, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 428-2040.

Mrs Brittany Lang Bongga is licensed to practice in California (license number 95004741) 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 1902353451.

Contact Information

	Mrs Brittany Lang Bongga, NP
	17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274
	(909) 428-2040
	(909) 428-2191

Map and Direction

Provider's Profile

Full Name	Mrs Brittany Lang Bongga
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17051 Sierra Lakes Pkwy Ste 101, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902353451
Provider Enumeration Date: 09/01/2016
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4688958507
Enrollment ID: I20170221001419

Medical Identifiers

Medical identifiers for Mrs Brittany Lang Bongga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902353451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004741 (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. Mrs Brittany Lang Bongga allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

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. Mrs Brittany Lang Bongga 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
Mrs Brittany Lang Bongga, NP 3400 Data Dr, Credentialing Department, Rancho Cordova, CA 95670-7956 Ph: () -	Mrs Brittany Lang Bongga, NP 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 Ph: (909) 428-2040

Reviews and Comments

Nurse Practitioner Nurses in Fontana, CA

Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17284 Slover Ave Ste 205, Fontana, CA 92337 Phone: 909-320-5793
Cherry Patricia Thangaraj, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7965 Sierra Ave, Fontana, CA 92336 Phone: 909-356-4459
Yael Steinfeld, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Scott Swartz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Cory Michael Layvas, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Lisa Marie Hanson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336 Phone: 909-823-8000
Julius E. Roque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5156 St Albert Dr, Fontana, CA 92336 Phone: 310-484-6920

Mrs Brittany Lang Bongga, NP - Medicare Nurse Practitioner in Fontana, CA