Dr Neil Nghia Tran, MD - Medicare Pediatrics in Doylestown, PA

Dr Neil Nghia Tran, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Doylestown, Pennsylvania. His current practice location is 595 W State St, Chop Care Network At Doylestown Hospital, Doylestown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 345-2054.

Dr Neil Nghia Tran is licensed to practice in Pennsylvania (license number MD036056Y) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922178235.

Contact Information

Dr Neil Nghia Tran, MD
595 W State St, Chop Care Network At Doylestown Hospital,
Doylestown, PA 18901-2554
(215) 345-2054
Not Available

Map and Direction




Physician's Profile

Full NameDr Neil Nghia Tran
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location595 W State St, Doylestown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922178235
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 05/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2264533645
  • Enrollment ID: I20070730000458

Medical Identifiers

Medical identifiers for Dr Neil Nghia Tran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922178235NPI-NPPES
6296OtherPAAETNA -US HEALTHCARE
MD036056YOtherPASTATE LICENSE
101941510MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MD036056Y (Pennsylvania)Primary

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 Neil Nghia Tran allows following entities to bill medicare on his behalf.
Entity NameEinstein Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728

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 Neil Nghia Tran 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
Dr Neil Nghia Tran, MD
100 E Penn Sq, 9th Floor,
Philadelphia, PA 19107-3323

Ph: (267) 425-9232
Dr Neil Nghia Tran, MD
595 W State St, Chop Care Network At Doylestown Hospital,
Doylestown, PA 18901-2554

Ph: (215) 345-2054

Reviews and Comments


Pediatrics Doctors in Doylestown, PA

Dr. Kate Alina Hentschel, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 318b N Main St, Doylestown, PA 18901
Phone: 215-345-6090    Fax: 215-345-6119
Dr. Cyrilda Navarro, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 252 W Swamp Rd, Ste 6, Doylestown, PA 18901
Phone: 215-348-2258    Fax: 215-348-0373
Dr. William Barba, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 708 Shady Retreat Rd, Suite 34, Doylestown, PA 18901
Phone: 215-345-6090    Fax: 215-345-6119
Shehla S Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 595 W State St, Chop Care Network At Doylestown Hospital, Doylestown, PA 18901
Phone: 215-829-3191    Fax: 215-829-7123
Dr. Harry Jack Sacks, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3186 Aquetong Rd, Doylestown, PA 18902
Phone: 732-648-9459    
Dr. Michael Nicholas, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 708 Shady Retreat Rd, Suites 34, Doylestown, PA 18901
Phone: 215-345-6090    Fax: 215-345-6119
Dr. Courtney Merchant, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 595 W State St, Doylestown, PA 18901
Phone: 215-345-2966    

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).

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