Chieu L Pham, DDS in San Diego, CA - Medicare Dentist Provider

Chieu L Pham, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in San Diego, California. His current practice location is 12395 El Camino Real Ste 218, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (408) 390-7228.

Chieu L Pham is licensed to practice in California (license number 52916) 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 1972645638.

Contact Information

	Chieu L Pham, DDS
	12395 El Camino Real Ste 218, San Diego, CA 92130-3084
	(408) 390-7228
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chieu L Pham
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	12395 El Camino Real Ste 218, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972645638
Provider Enumeration Date: 02/12/2007
Last Update Date: 06/24/2009

Medicare PECOS Information:

PECOS PAC ID: 6305237793
Enrollment ID: I20211220000005

Medical Identifiers

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

Identifier	Type	State	Issuer
1972645638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	52916 (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. Chieu L Pham allows following entities to bill medicare on his behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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. Chieu L 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
Chieu L Pham, DDS 12395 El Camino Real #218, San Diego, CA 92130 Ph: (408) 390-7228	Chieu L Pham, DDS 12395 El Camino Real Ste 218, San Diego, CA 92130-3084 Ph: (408) 390-7228

Reviews and Comments

Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239
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Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135

Chieu L Pham, DDS - Medicare Dentist in San Diego, CA