Paul Sugiharto, - Medicare Nurse Practitioner in Alhambra, CA

Paul Sugiharto, is a medicare enrolled "Nurse Practitioner - Family" in Alhambra, California. His current practice location is 425 W Main St Ste 101, Alhambra, California. You can reach out to his office (for appointments etc.) via phone at (626) 382-1252.

Paul Sugiharto is licensed to practice in California (license number NP95010196) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619445665.

Contact Information

Paul Sugiharto,
425 W Main St Ste 101,
Alhambra, CA 91801-7439
(626) 382-1252
Not Available



Provider's Profile

Full NamePaul Sugiharto
GenderMale
SpecialityNurse Practitioner - Family
Location425 W Main St Ste 101, Alhambra, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619445665
  • Provider Enumeration Date: 11/07/2018
  • Last Update Date: 02/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931531977
  • Enrollment ID: I20191113002725

Medical Identifiers

Medical identifiers for Paul Sugiharto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619445665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 744628 (California)Secondary
363LF0000XNurse Practitioner - Family NP95010196 (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. Paul Sugiharto allows following entities to bill medicare on his behalf.
Entity NameStephen P Chen Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841517067
PECOS PAC ID: 3173649696
Enrollment ID: O20100922000021

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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. Paul Sugiharto 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 AddressPractice Location Address
Paul Sugiharto,
12143 Lambert Ave,
El Monte, CA 91732-2055

Ph: (626) 590-1404
Paul Sugiharto,
425 W Main St Ste 101,
Alhambra, CA 91801-7439

Ph: (626) 382-1252

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Nurse Practitioner Nurses in Alhambra, CA

Vivien Chan Trieu, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1917 Edgewood Dr, Alhambra, CA 91803
Phone: 626-203-8889    
Hsing-chun Hsieh, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 116 S Chapel Ave Apt V, Alhambra, CA 91801
Phone: 626-399-3423    
Yuan Yao,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 925 S Garfield Ave, Alhambra, CA 91801
Phone: 626-282-0282    
Jackeline Tekin, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2835 W Valley Blvd, Alhambra, CA 91803
Phone: 626-281-3265    
Mrs. Rosario Maria Aguilar-tanphanich, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1701 La Golondrina Ave, Alhambra, CA 91803
Phone: 626-476-8462    
Thuy M Nguyen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2102 San Clemente Ave, Alhambra, CA 91803
Phone: 323-580-3076    
Courtenay Lynn Juliano, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Huntington Dr Ste 209, Alhambra, CA 91801
Phone: 323-264-7796    

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