Diem Quynh Pham, DO is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Chino Hills, California. She went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1997 and has 28 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Sand Dermatology Pc and her current practice location is
3110 Chino Ave Ste 120, Chino Hills, California. You can reach out to her office (for appointments etc.) via phone at
(909) 313-5111.
Diem Quynh Pham is licensed to practice in California (license number 20A7309) 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 1255421335.
Physician's Profile
| Full Name | Diem Quynh Pham |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 28 Years |
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| Location | 3110 Chino Ave Ste 120, Chino Hills, 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. |
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Medical Education and Training:
- Diem Quynh Pham attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1997
NPI Data:
- NPI Number: 1255421335
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 01/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880693845
- Enrollment ID: I20061220000525
Medical Identifiers
Medical identifiers for Diem Quynh Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255421335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | 20A7309 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sand Dermatology Pc | 3274960752 | 2 |
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. Diem Quynh Pham allows following entities to bill medicare on her behalf.
| Entity Name | Sand Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558918441
PECOS PAC ID: 3274960752
Enrollment ID: O20200221001553 |
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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. Diem Quynh 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 |
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Diem Quynh Pham, DO
3110 Chino Ave Ste 120,
Chino Hills, CA 91709-1294
Ph: (909) 313-5111 | Diem Quynh Pham, DO
3110 Chino Ave Ste 120,
Chino Hills, CA 91709-1294
Ph: (909) 313-5111 |
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