Miss Jun Phan, RDN,LDN in Chicago, IL - Medicare Dietitian, Registered Provider

Miss Jun Phan, RDN,LDN is a medicare enrolled "Dietitian, Registered" provider in Chicago, Illinois. Her current practice location is 850 W Irving Park Rd, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 975-6802.

Miss Jun Phan is licensed to practice in Illinois (license number 164007244) 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 1003435868.

Contact Information

	Miss Jun Phan, RDN,LDN
	850 W Irving Park Rd, Chicago, IL 60613-3077
	(773) 975-6802
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Jun Phan
Gender	Female
Speciality	Dietitian, Registered
Location	850 W Irving Park Rd, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003435868
Provider Enumeration Date: 04/13/2020
Last Update Date: 04/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6709202294
Enrollment ID: I20200814000093

Medical Identifiers

Medical identifiers for Miss Jun Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003435868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164007244 (Illinois)	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. Miss Jun Phan allows following entities to bill medicare on her behalf.

Provider Name	Northshore University Healthsystem Faculty Practice Associates
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Miss Jun 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
Miss Jun Phan, RDN,LDN 850 W Irving Park Rd, Chicago, IL 60613-3077 Ph: () -	Miss Jun Phan, RDN,LDN 850 W Irving Park Rd, Chicago, IL 60613-3077 Ph: (773) 975-6802

Reviews and Comments

Dietitian, Registered in Chicago, IL

Mrs. Marissa Lynn Varner, R.D, M.S. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Health Management Office, Chicago, IL 60631 Phone: 773-594-7448 Fax: 773-594-8454
Mrs. Mireya E Renteria, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2355 S Western Ave, Chicago, IL 60608 Phone: 773-650-1220 Fax: 773-650-1218
Vanessa Alicea Matos, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 W Fulton St, Suite 105, Chicago, IL 60612 Phone: 312-850-3438 Fax: 312-638-9872
Mrs. Renee Ann Clerkin, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 W Wabansia Ave, Unit 214, Chicago, IL 60647 Phone: 317-442-5134
Elizabeth Murphy, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1015 W Lawrence Ave, Chicago, IL 60640 Phone: 773-751-1731
Alice Touma, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1525 W Homer St Ste 101, Chicago, IL 60642 Phone: 888-785-7370

Miss Jun Phan, RDN,LDN - Medicare Dietitian in Chicago, IL