Dr Jackline Anh-dao Pham, DDS - Medicare Dentist in San Diego, CA

Dr Jackline Anh-dao Pham, DDS is a medicare enrolled "Dentist - General Practice" provider in San Diego, California. Her current practice location is 4344 Convoy Street, Suite S, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 616-6468.

Dr Jackline Anh-dao Pham is licensed to practice in California (license number 45309) 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 1992835235.

Contact Information

Dr Jackline Anh-dao Pham, DDS
4344 Convoy Street, Suite S,
San Diego, CA 92111
(858) 616-6468
(858) 616-6478

Map and Direction




Healthcare Provider's Profile

Full NameDr Jackline Anh-dao Pham
GenderFemale
SpecialityDentist - General Practice
Location4344 Convoy Street, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992835235
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 02/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395031074
  • Enrollment ID: I20160906002251

Medical Identifiers

Medical identifiers for Dr Jackline Anh-dao Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992835235NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 45309 (California)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 Jackline Anh-dao 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 AddressPractice Location Address
Dr Jackline Anh-dao Pham, DDS
4344 Convoy Street, Suite S,
San Diego, CA 92111

Ph: (858) 616-6468
Dr Jackline Anh-dao Pham, DDS
4344 Convoy Street, Suite S,
San Diego, CA 92111

Ph: (858) 616-6468

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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