Jonathan Pham, MD in Salt Lake City, UT - Medicare Internal Medicine

Jonathan Pham, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Salt Lake City, Utah. His current practice location is 30 N 1900 E Rm 4b319, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-8812.

Jonathan Pham is licensed to practice in Utah (license number 11802786-1205) 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 1750811659.

Contact Information

	Jonathan Pham, MD
	30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002
	(801) 581-8812
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Pham
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	30 N 1900 E Rm 4b319, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750811659
Provider Enumeration Date: 06/14/2017
Last Update Date: 06/15/2020

Medicare PECOS Information:

PECOS PAC ID: 0244663029
Enrollment ID: I20230914001066

Medical Identifiers

Medical identifiers for Jonathan Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750811659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	11802786-1205 (Utah)	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. Jonathan Pham allows following entities to bill medicare on his behalf.

Entity Name	Quantum Healthcare Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568490597 PECOS PAC ID: 5294647574 Enrollment ID: O20040924000422

Entity Name	Clinic Services Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394

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. Jonathan 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
Jonathan Pham, MD 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 Ph: (801) 581-8812	Jonathan Pham, MD 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 Ph: (801) 581-8812

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Infectious Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Jonathan Pham, MD - Medicare Internal Medicine in Salt Lake City, UT