Khanh Phuong Sieu Tong, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Sausalito, California. Her current practice location is
111 2nd St, Sausalito, California. You can reach out to her office (for appointments etc.) via phone at
(206) 697-4998.
Khanh Phuong Sieu Tong is licensed to practice in California (license number E6098) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336898444.
Healthcare Provider's Profile
Full Name | Khanh Phuong Sieu Tong |
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Gender | Female |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 111 2nd St, Sausalito, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336898444
- Provider Enumeration Date: 03/23/2022
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456873991
- Enrollment ID: I20250313002894
Medical Identifiers
Medical identifiers for Khanh Phuong Sieu Tong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336898444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E6098 (California) | Primary |
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. Khanh Phuong Sieu Tong 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 |
Khanh Phuong Sieu Tong, 31 Park Cir, Sausalito, CA 94965-1117 Ph: () - | Khanh Phuong Sieu Tong, 111 2nd St, Sausalito, CA 94965-2526 Ph: (206) 697-4998 |
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