| Vickie Khanh Bemoll, PA-C | |
|
101 The City Dr S, Orange, CA 92868-3201 | |
| (714) 456-7890 | |
| Not Available |
| Full Name | Vickie Khanh Bemoll |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 101 The City Dr S, Orange, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962262436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA65122 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Mission Hospital | Mission viejo, CA | Hospital |
| Memorialcare Long Beach Medical Center | Long beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bci Orthopaedics | 6608101464 | 16 |
| Entity Name | Bci Orthopaedics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679131114 PECOS PAC ID: 6608101464 Enrollment ID: O20190716002228 |
| Mailing Address | Practice Location Address |
|---|---|
| Vickie Khanh Bemoll, PA-C 101 The City Dr S, Orange, CA 92868-3201 Ph: Not Available | Vickie Khanh Bemoll, PA-C 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-7890 |
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