Dr Phuong Thai Thach, NMD, AP, DIPL OM is a
Naturopath based in Pensacola, Florida. Dr Phuong Thai Thach is licensed to practice in Washington (license number NT60999770) and her current practice location is
7700 Us-98, Pensacola, Florida. She can be reached at her office (for appointments etc.) via phone at
(425) 333-7878.
NPI number for Dr Phuong Thai Thach is 1689225930 and her current mailing address is 10775 Creek Ridge Dr, Pensacola, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689225930.
Healthcare Provider's Profile
| Full Name | Dr Phuong Thai Thach |
|---|
| Gender | Female |
|---|
| Speciality | Naturopath |
|---|
| Location | 7700 Us-98, Pensacola, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689225930
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 07/23/2022
Medical Identifiers
Medical identifiers for Dr Phuong Thai Thach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689225930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (Washington) | Secondary |
| 171100000X | Acupuncturist | 4359 (Florida) | Secondary |
| 175F00000X | Naturopath | (Washington) | Secondary |
| 175F00000X | Naturopath | NT60999770 (Washington) | 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. Dr Phuong Thai Thach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Phuong Thai Thach, NMD, AP, DIPL OM
10775 Creek Ridge Dr,
Pensacola, FL 32506-8217
Ph: (850) 304-7881 | Dr Phuong Thai Thach, NMD, AP, DIPL OM
7700 Us-98,
Pensacola, FL 32506
Ph: (425) 333-7878 |
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