Victorian Care Medical Group, Inc. is a medicare enrolled "Internal Medicine" provider in Inglewood, California. Their current practice location is
11149 Crenshaw Blvd, Inglewood, California. You can reach out to their office (for appointments etc.) via phone at
(310) 677-4600.
Victorian Care Medical Group, Inc. is licensed to practice in California (license number W9384) and it also participates in the medicare program. Victorian Care Medical Group, Inc.
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 1821172008.
Healthcare Provider's Profile
| Full Name | Victorian Care Medical Group, Inc. |
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| Type | Facility |
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| Speciality | Internal Medicine |
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| Location | 11149 Crenshaw Blvd, Inglewood, California |
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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: 1821172008
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 11/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 7911810197
- Enrollment ID: O20031112000672
Medical Identifiers
Medical identifiers for Victorian Care Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821172008 | NPI | - | NPPES |
| 00G506070 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | W9384 (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.
Victorian Care Medical Group, Inc. acts as a billing entity for following providers:
| Provider Name | Nwachukwu A Anakwenze |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1255417309
PECOS PAC ID: 5193639383
Enrollment ID: I20111101000236 |
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| Provider Name | Vicki M Anakwenze |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1992986947
PECOS PAC ID: 0941475255
Enrollment ID: I20111215000501 |
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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. Victorian Care Medical Group, Inc. 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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Victorian Care Medical Group, Inc.
Po Box 88939,
Los Angeles, CA 90009-6939
Ph: (310) 677-4600 | Victorian Care Medical Group, Inc.
11149 Crenshaw Blvd,
Inglewood, CA 90303-2338
Ph: (310) 677-4600 |
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