Diemkieu Pham, is a medicare enrolled "Physician Assistant" physician in Wichita, Kansas. Her current practice location is
2230 N Ridge Rd, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 448-8339.
Diemkieu Pham is licensed to practice in Kansas (license number 15-02552) 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 1780259192.
Physician's Profile
Full Name | Diemkieu Pham |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2230 N Ridge Rd, Wichita, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780259192
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810387701
- Enrollment ID: I20211208002315
Medical Identifiers
Medical identifiers for Diemkieu Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780259192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 15-02552 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 15-02552 (Kansas) | 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. Diemkieu 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 |
Diemkieu Pham, 2230 N Ridge Rd, Wichita, KS 67205-1053 Ph: (316) 448-8339 | Diemkieu Pham, 2230 N Ridge Rd, Wichita, KS 67205-1053 Ph: (316) 448-8339 |
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