Douglas M Phan, MD - Medicare Otolaryngology in Modesto, CA

Douglas M Phan, MD is a medicare enrolled "Otolaryngology" physician in Modesto, California. He went to Stanford University School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Advanced Surgical Associates and his current practice location is 1541 Florida Ave Ste 304, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 577-3388.

Douglas M Phan is licensed to practice in California (license number G51181) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013073766.

Contact Information

Douglas M Phan, MD
1541 Florida Ave Ste 304,
Modesto, CA 95350-4439
(209) 577-3388
(209) 521-3262

Map and Direction




Physician's Profile

Full NameDouglas M Phan
GenderMale
SpecialityOtolaryngology
Experience42 Years
Location1541 Florida Ave Ste 304, Modesto, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas M Phan attended and graduated from Stanford University School Of Medicine in 1982
  NPI Data:
  • NPI Number: 1013073766
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 01/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163694258
  • Enrollment ID: I20170524002964

Medical Identifiers

Medical identifiers for Douglas M Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013073766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology G51181 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Surgical Associates25674388496

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. Douglas M Phan allows following entities to bill medicare on his behalf.
Entity NameAdvanced Surgical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013027150
PECOS PAC ID: 2567438849
Enrollment ID: O20040908000760
Entity NameVerity Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326312067
PECOS PAC ID: 7416119110
Enrollment ID: O20120425000408
Entity NameFirst Choice Physician Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104183052
PECOS PAC ID: 0941465322
Enrollment ID: O20120710000480

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. Douglas M 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 AddressPractice Location Address
Douglas M Phan, MD
927 Broadway St, Suite 322,
Quincy, IL 62301-2719

Ph: (217) 223-8400
Douglas M Phan, MD
1541 Florida Ave Ste 304,
Modesto, CA 95350-4439

Ph: (209) 577-3388

Reviews and Comments


Otolaryngology Doctors in Modesto, CA

Anwuli Alexandra Anyah, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-550-4770    
Kenneth W Mak, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1541 Florida Ave, 301, Modesto, CA 95350
Phone: 209-577-3388    Fax: 209-523-0764
Mark J. Bitgood, MD
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Practice Location: 4601 Dale Rd, Modesto, CA 95356
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Charles R Suntra, MD
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Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-524-1211    
Christopher S. Whang, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-557-1000    
Charles Alan Yates, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1510 Florida Ave, Modesto, CA 95350
Phone: 209-549-7090    Fax: 209-549-7099

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.