Thao Nguyen Tran Md Sc is a medicare enrolled "Ophthalmology" provider in Kenosha, Wisconsin. Their current practice location is
7201 Green Bay Rd Ste C, Kenosha, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(262) 842-2358.
Thao Nguyen Tran Md Sc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Thao Nguyen Tran Md Sc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639509789.
Healthcare Provider's Profile
| Full Name | Thao Nguyen Tran Md Sc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 7201 Green Bay Rd Ste C, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639509789
- Provider Enumeration Date: 11/26/2013
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456588375
- Enrollment ID: O20131220000194
Medical Identifiers
Medical identifiers for Thao Nguyen Tran Md Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639509789 | NPI | - | NPPES |
| 000732285 | Other | IL | MEDICARE ID |
| 11357585 | Other | | CAQH |
| F100110681 | Other | IL | MEDICARE PTAN |
| 34343200 | Medicaid | WI | |
| K100133001 | Other | WI | MEDICARE PTAN GROUP WI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Thao Nguyen Tran Md Sc acts as a billing entity for following providers:
| Provider Name | Thao Nguyen Tran |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1891761524
PECOS PAC ID: 7517025992
Enrollment ID: I20131220000187 |
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| Provider Name | Sadie Ann Steinbeisser |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1104486075
PECOS PAC ID: 1052640539
Enrollment ID: I20250225002751 |
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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. Thao Nguyen Tran Md Sc 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 |
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Thao Nguyen Tran Md Sc
7201 Green Bay, Suite C,
Kenosha, WI 53142-3532
Ph: (262) 842-2358 | Thao Nguyen Tran Md Sc
7201 Green Bay Rd Ste C,
Kenosha, WI 53142-3532
Ph: (262) 842-2358 |
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