Virginia Inthavong, FNP in Modesto, CA - Medicare Nurse Practitioner

Virginia Inthavong, FNP is a medicare enrolled "Nurse Practitioner - Family" in Modesto, California. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice La Laser Center Pc A Professional Medical Corporation and her current practice location is 1717 Las Vegas St, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (866) 682-4842.

Virginia Inthavong is licensed to practice in California (license number 95013866) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932741139.

Contact Information

	Virginia Inthavong, FNP
	1717 Las Vegas St, Modesto, CA 95358-5500
	(866) 682-4842
	(866) 234-5550

Map and Direction

Provider's Profile

Full Name	Virginia Inthavong
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1717 Las Vegas St, Modesto, 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.

Medical Education and Training:

Virginia Inthavong graduated from nursing school in 2019

NPI Data:

NPI Number: 1932741139
Provider Enumeration Date: 10/09/2019
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8820320872
Enrollment ID: I20210309002875

Medical Identifiers

Medical identifiers for Virginia Inthavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932741139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95013866 (California)	Primary
363L00000X	Nurse Practitioner	XXXXXX (Kansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Oak Valley Hospital District	Oakdale, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Laser Center Pc A Professional Medical Corporation	9537181185	83

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. Virginia Inthavong allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

Entity Name	Gill Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235642588 PECOS PAC ID: 5799045621 Enrollment ID: O20180214000241

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. Virginia Inthavong 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
Virginia Inthavong, FNP 2012 Landing Ct, Modesto, CA 95357-0857 Ph: () -	Virginia Inthavong, FNP 1717 Las Vegas St, Modesto, CA 95358-5500 Ph: (866) 682-4842

Reviews and Comments

Nurse Practitioner Nurses in Modesto, CA

Anissa Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069
Nameeta Heer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1316 Celeste Dr, Modesto, CA 95355 Phone: 209-571-1055
Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 W Granger Ave, Modesto, CA 95350 Phone: 209-579-9930 Fax: 209-579-9941
Ms. Margaret Baker, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1448 Florida Ave, Modesto, CA 95350 Phone: 209-523-1884 Fax: 209-523-2566
Ms. Fantine Warda, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
Malarkodi Gunasekaran, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4755 Fax: 510-491-7522
Shararah Aziz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Standiford Ave, Modesto, CA 95350 Phone: 209-676-3069

Virginia Inthavong, FNP - Medicare Nurse Practitioner in Modesto, CA