Cameron Phen, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Lincoln, California. His current practice location is
688 Cabra St, Lincoln, California. You can reach out to his office (for appointments etc.) via phone at
(916) 899-8386.
Cameron Phen is licensed to practice in Illinois (license number 019.035342) 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 1750072435.
Healthcare Provider's Profile
Full Name | Cameron Phen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 688 Cabra St, Lincoln, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750072435
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870954068
- Enrollment ID: I20230803004001
Medical Identifiers
Medical identifiers for Cameron Phen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750072435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D11858 (Oregon) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 019.035342 (Illinois) | 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. Cameron Phen 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 |
Cameron Phen, 688 Cabra St, Lincoln, CA 95648-8841 Ph: () - | Cameron Phen, 688 Cabra St, Lincoln, CA 95648-8841 Ph: (916) 899-8386 |
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