Derek Q Phan, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Temescal Valley, California. His current practice location is
21634 Retreat Pkwy, Temescal Valley, California. You can reach out to his office (for appointments etc.) via phone at
(951) 493-6650.
Derek Q Phan is licensed to practice in Wisconsin (license number 100522) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598184244.
Physician's Profile
| Full Name | Derek Q Phan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 21634 Retreat Pkwy, Temescal Valley, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Derek Q Phan attended and graduated from in
NPI Data:
- NPI Number: 1598184244
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Derek Q Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598184244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD61123756 (Washington) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 0447579 (Kansas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A138554 (California) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 100522 (Wisconsin) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | MD61123756 (Washington) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 0447579 (Kansas) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | A138554 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 100522 (Wisconsin) | 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. Derek Q 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 |
|---|
Derek Q Phan, MD
10798 Jurupa Rd, Po Box 136,
Jurupa Valley, CA 91752
Ph: (213) 569-1450 | Derek Q Phan, MD
21634 Retreat Pkwy,
Temescal Valley, CA 92883-6100
Ph: (951) 493-6650 |
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