| Andrew Nguyen Md Pa | |
|
308 N Main Street Trenton FL 32693 | |
| (352) 463-7381 | |
| (352) 463-7273 |
| Full Name | Andrew Nguyen Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 308 N Main Street, Trenton, Florida |
| Authorized Official Name and Position | Andrew Nguyen (MD) |
| Authorized Official Contact | 3524637381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Nguyen Md Pa 308 N Main Street Trenton FL 32693 Ph: (352) 463-7381 | Andrew Nguyen Md Pa 308 N Main Street Trenton FL 32693 Ph: (352) 463-7381 |
| NPI Number | 1487973012 |
|---|---|
| Provider Enumeration Date | 05/21/2010 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 2163552464 |
|---|---|
| Medicare Enrollment ID | O20100614000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487973012 | NPI | - | NPPES |
| 0680028-00 | Medicaid | FL | |
| 233749 | Other | FL | AV-MED |
| 05067200 | Other | FL | VISTA |
| 0680028-01 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME43248 (Florida) | Primary |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497851604 PECOS PAC ID: 8921138231 Enrollment ID: I20100614000300 |
| Provider Name | Nelson Tang Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215418827 PECOS PAC ID: 1254684863 Enrollment ID: I20181030000168 |
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