Diana Pham, in Fountain Valley, CA - Medicare Marriage & Family Therapist Provider

Diana Pham, is a medicare enrolled "Marriage & Family Therapist" provider in Fountain Valley, California. Her current practice location is 17360 Brookhurst Street, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (909) 387-7200.

Diana Pham is licensed to practice in California (license number IMF80760) 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 1225532757.

Contact Information

	Diana Pham,
	17360 Brookhurst Street, Fountain Valley, CA 92708
	(909) 387-7200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diana Pham
Gender	Female
Speciality	Marriage & Family Therapist
Location	17360 Brookhurst Street, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225532757
Provider Enumeration Date: 03/20/2018
Last Update Date: 04/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2961842307
Enrollment ID: I20240501003772

Medical Identifiers

Medical identifiers for Diana Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225532757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	IMF80760 (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. Diana Pham allows following entities to bill medicare on her behalf.

Entity Name	Memorialcare Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219

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. Diana Pham 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
Diana Pham, 17360 Brookhurst Street, Fountain Valley, CA 92708 Ph: () -	Diana Pham, 17360 Brookhurst Street, Fountain Valley, CA 92708 Ph: (909) 387-7200

Reviews and Comments

Marriage & Family Therapist in Fountain Valley, CA

Gian Patrick Densing, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18837 Brookhurst St Ste 102, Fountain Valley, CA 92708 Phone: 156-231-4989
Dayda Michelle Briseno, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16580 Harbor Blvd Ste M, Fountain Valley, CA 92708 Phone: 714-975-5201
Mariam Abdelshahed, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9091 Caladium Ave, Fountain Valley, CA 92708 Phone: 877-527-7227
Ariana Flores Rivera, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708 Phone: 714-378-2620
Alisa Falbo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10101 Slater Ave Ste 241, Fountain Valley, CA 92708 Phone: 714-378-2620
Breanna Comey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708 Phone: 714-378-2620
Mrs. Monica Mishelle Bautista, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16580 Harbor Blvd Ste O, Fountain Valley, CA 92708 Phone: 949-250-0488

Diana Pham, - Medicare Couples Therapy in Fountain Valley, CA