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Ann Nguyen-Chung

Dentist

Dental Providers

PECOS Enrollment

This provider is enrolled in PECOS as THU ANH NGUYEN.

Based on the most recent information from CMS, provider Ann Nguyen-Chung is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1093120313
Provider Type
Individual
Full Name
Nguyen-Chung, Ann
Credential
D.M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/25/2014
Last Updated
9/21/2021

Contact Information

Practice Location

1441 Liberty St, Redding, CA 96001-0811

(530) 224-2700

(530) 224-2738

Mailing Location

1441 Liberty St, Redding, CA 96001-0811

(530) 224-2700

(530) 224-2738

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 63801 California

Ann Nguyen-Chung

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Huang, Daniel R

Kristen Stewart, Dds, Inc

Vodak, Thomas Arthur

Zufall, Andrew Blake

Shasta College Dental Hygiene Program

Ann Malotky, Dds., Inc.

Chung, Peter J

Craig E. Fowers,Dds,Apc

Guerin, Shawn

Basram, Dilpreet