Dr Khanh Pham Thieu, MD is a medicare enrolled "Dermatology" physician in Havertown, Pennsylvania. He went to Harvard Medical School and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Minh Thieu, Md, Pc, Minh Thieu, Md, Pc and his current practice location is
109 N Eagle Rd, Suite 2, Havertown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 789-7546.
Dr Khanh Pham Thieu is licensed to practice in Pennsylvania (license number MD454380) 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 1093030462.
Physician's Profile
Full Name | Dr Khanh Pham Thieu |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 15 Years |
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Location | 109 N Eagle Rd, Havertown, Pennsylvania |
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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. |
Medical Education and Training:
- Dr Khanh Pham Thieu attended and graduated from Harvard Medical School in 2009
NPI Data:
- NPI Number: 1093030462
- Provider Enumeration Date: 03/29/2010
- Last Update Date: 03/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436391653
- Enrollment ID: I20150806011262
Medical Identifiers
Medical identifiers for Dr Khanh Pham Thieu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093030462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | C1-0012141 (Delaware) | Secondary |
207ND0900X | Dermatology - Dermatopathology | MD454380 (Pennsylvania) | Secondary |
207ND0900X | Dermatology - Dermatopathology | C1-0012141 (Delaware) | Secondary |
207N00000X | Dermatology | MD454380 (Pennsylvania) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Minh Thieu, Md, Pc | 8820212657 | 2 |
Minh Thieu, Md, Pc | 8820212657 | 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. Dr Khanh Pham Thieu allows following entities to bill medicare on his behalf.
Entity Name | Jefferson University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
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Entity Name | Minh Thieu, Md, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306261243 PECOS PAC ID: 8820212657 Enrollment ID: O20140617000987 |
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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. Dr Khanh Pham Thieu 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 |
Dr Khanh Pham Thieu, MD 109 N Eagle Rd, Suite 2, Havertown, PA 19083-3400 Ph: (610) 789-7546 | Dr Khanh Pham Thieu, MD 109 N Eagle Rd, Suite 2, Havertown, PA 19083-3400 Ph: (610) 789-7546 |
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