Dr Mai Lien Pham, DO is a medicare enrolled "Internal Medicine" physician in Fairchild Air Force Base, Washington. Her current practice location is
701 Hospital Loop, Fairchild Air Force Base, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 247-5755.
Dr Mai Lien Pham is licensed to practice in Oklahoma (license number 5025) 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 1053551499.
Physician's Profile
Full Name | Dr Mai Lien Pham |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 701 Hospital Loop, Fairchild Air Force Base, Washington |
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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: 1053551499
- Provider Enumeration Date: 02/25/2009
- Last Update Date: 03/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 4880866193
- Enrollment ID: I20180726003272
Medical Identifiers
Medical identifiers for Dr Mai Lien Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053551499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 5025 (Oklahoma) | 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. Dr Mai Lien 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 |
Dr Mai Lien Pham, DO 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 Ph: (509) 247-5755 | Dr Mai Lien Pham, DO 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 Ph: (509) 247-5755 |
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