Chantal T Pham, MD is a medicare enrolled "Dermatology" physician in Milpitas, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is
770 E Calaveras Blvd, Milpitas, California. You can reach out to her office (for appointments etc.) via phone at
(650) 945-2900.
Chantal T Pham is licensed to practice in California (license number G82142) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225115165.
Physician's Profile
Full Name | Chantal T Pham |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 33 Years |
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Location | 770 E Calaveras Blvd, Milpitas, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Chantal T Pham attended and graduated from University Of California, San Francisco School Of Medicine in 1991
NPI Data:
- NPI Number: 1225115165
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193913507
- Enrollment ID: I20101229001159
Medical Identifiers
Medical identifiers for Chantal T Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225115165 | NPI | - | NPPES |
00G821420 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | G82142 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Permanente Medical Group Inc | 8921910225 | 8376 |
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. Chantal T Pham allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Chantal T 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 |
Chantal T Pham, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Chantal T Pham, MD 770 E Calaveras Blvd, Milpitas, CA 95035-5491 Ph: (650) 945-2900 |
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