Hien-thao Phan, LICSW, MSW is a medicare enrolled "Social Worker" provider in Seattle, Washington. Her current practice location is
3815 S Othello St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 788-3500.
Hien-thao Phan is licensed to practice in Washington (license number LW61296741) 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 1306299326.
Healthcare Provider's Profile
| Full Name | Hien-thao Phan |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 3815 S Othello St, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306299326
- Provider Enumeration Date: 07/14/2016
- Last Update Date: 08/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658668652
- Enrollment ID: I20201014001442
Medical Identifiers
Medical identifiers for Hien-thao Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306299326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SC60726290 (Washington) | Secondary |
| 104100000X | Social Worker | CG60183725 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC60726290 (Washington) | Secondary |
| 104100000X | Social Worker | LW61296741 (Washington) | 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. Hien-thao Phan allows following entities to bill medicare on her behalf.
| Entity Name | International Community Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376659151
PECOS PAC ID: 5799695672
Enrollment ID: O20040301000204 |
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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. Hien-thao Phan 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 |
|---|
Hien-thao Phan, LICSW, MSW
Po Box 3007,
Seattle, WA 98114-3007
Ph: (206) 788-3500 | Hien-thao Phan, LICSW, MSW
3815 S Othello St,
Seattle, WA 98118-3510
Ph: (206) 788-3500 |
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