Dr Phuong Nicole Ta, MD in Aliso Viejo, CA - Medicare Internal Medicine

Dr Phuong Nicole Ta, MD is a medicare enrolled "Internal Medicine" physician in Aliso Viejo, California. Her current practice location is 26671 Aliso Creek Rd Ste 304, Aliso Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 389-9409.

Dr Phuong Nicole Ta is licensed to practice in California (license number G79560) 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 1316001373.

Contact Information

	Dr Phuong Nicole Ta, MD
	26671 Aliso Creek Rd Ste 304, Aliso Viejo, CA 92656-4808
	(949) 389-9409
	Not Available

Physician's Profile

Full Name	Dr Phuong Nicole Ta
Gender	Female
Speciality	Internal Medicine
Location	26671 Aliso Creek Rd Ste 304, Aliso Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316001373
Provider Enumeration Date: 12/21/2006
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1254525280
Enrollment ID: I20101103000514

Medical Identifiers

Medical identifiers for Dr Phuong Nicole Ta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316001373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G79560 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Phuong Nicole Ta allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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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. Dr Phuong Nicole Ta 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
Dr Phuong Nicole Ta, MD 26671 Aliso Creek Rd Ste 304, Aliso Viejo, CA 92656-4808 Ph: (949) 389-9409	Dr Phuong Nicole Ta, MD 26671 Aliso Creek Rd Ste 304, Aliso Viejo, CA 92656-4808 Ph: (949) 389-9409

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Internal Medicine Doctors in Aliso Viejo, CA

Dr. Terence R Offenberger, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 Mareblu, Ste. 100, Aliso Viejo, CA 92656 Phone: 949-448-0656 Fax: 949-425-2465
Dr. Evaggelos Gary Mitrevolis, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 24552 Pacific Park Dr, Aliso Viejo, CA 92656 Phone: 949-446-0099 Fax: 949-606-9297
Dr. Charles Christopher Bailey Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Mareblu, Suite 310, Aliso Viejo, CA 92656 Phone: 949-448-8861 Fax: 949-448-8170
Dr. Angela Rose Miller, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26671 Aliso Creek Rd, Suite 205, Aliso Viejo, CA 92656 Phone: 949-831-0300 Fax: 949-831-0339
Dr. Richard Caso, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24541 Pacific Park Dr, #109, Aliso Viejo, CA 92656 Phone: 949-362-1212 Fax: 949-362-4755
Kristen M. Walters, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Journey Ste 201, Aliso Viejo, CA 92656 Phone: 949-287-4900

Dr Phuong Nicole Ta, MD - Medicare Internal Medicine in Aliso Viejo, CA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

CCS Medical moves corporate headquarters to Farmers Branch, Texas

Study examines safety of COVID-19 vaccine in a nationwide mass-vaccination setting

Acorda gets FDA Complete Response Letter for PLUMIAZ Nasal Spray NDA

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Acorda gets FDA Complete Response Letter for PLUMIAZ Nasal Spray NDA

Olympus adds dissolvable sinus spacing and hemostat products to ENT portfolio

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Internal Medicine Doctors in Aliso Viejo, CA