Phong Kieu, NP in Santa Ana, CA - Medicare Nurse Practitioner

Phong Kieu, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Ana, California. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Oceanside Medical Group A Medical Corporation and his current practice location is 202 W Harvey Ave, Santa Ana, California. You can reach out to his office (for appointments etc.) via phone at (714) 507-8008.

Phong Kieu is licensed to practice in California (license number 95019542) 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 1295495737.

Contact Information

	Phong Kieu, NP
	202 W Harvey Ave, Santa Ana, CA 92707-4420
	(714) 507-8008
	Not Available

Map and Direction

Provider's Profile

Full Name	Phong Kieu
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	202 W Harvey Ave, Santa Ana, 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:

Phong Kieu graduated from nursing school in 2021

NPI Data:

NPI Number: 1295495737
Provider Enumeration Date: 12/25/2021
Last Update Date: 12/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9931593696
Enrollment ID: I20220223002748

Medical Identifiers

Medical identifiers for Phong Kieu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295495737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95019542 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Los Angeles Community Hospital	Los angeles, CA	Hospital
Huntington Beach Hospital	Huntington beach, CA	Hospital
West Anaheim Medical Center	Anaheim, CA	Hospital
Garden Grove Hospital & Medical Center	Garden grove, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oceanside Medical Group A Medical Corporation	9335311042	16

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. Phong Kieu allows following entities to bill medicare on his behalf.

Entity Name	Oceanside Medical Group A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861770513 PECOS PAC ID: 9335311042 Enrollment ID: O20110930000204

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. Phong Kieu 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
Phong Kieu, NP 202 W Harvey Ave, Santa Ana, CA 92707-4420 Ph: () -	Phong Kieu, NP 202 W Harvey Ave, Santa Ana, CA 92707-4420 Ph: (714) 507-8008

Reviews and Comments

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Elizabeth Branson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 E 1st St # 100, Santa Ana, CA 92705 Phone: 909-800-3532

Phong Kieu, NP - Medicare Nurse Practitioner in Santa Ana, CA