Kevin Phan, in Santa Clara, CA - Medicare Family Medicine

Kevin Phan, is a medicare enrolled "Family Medicine" physician in Santa Clara, California. His current practice location is 710 Lawrence Expy Dept 460, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 871-9440.

Kevin Phan is licensed to practice in California (license number A187042) 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 1649807876.

Contact Information

	Kevin Phan,
	710 Lawrence Expy Dept 460, Santa Clara, CA 95051-5173
	(408) 871-9440
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Phan
Gender	Male
Speciality	Family Medicine
Location	710 Lawrence Expy Dept 460, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649807876
Provider Enumeration Date: 03/26/2020
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7416338322
Enrollment ID: I20231110001000

Medical Identifiers

Medical identifiers for Kevin Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649807876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A187042 (California)	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. Kevin Phan allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kevin 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 Address	Practice Location Address
Kevin Phan, 710 Lawrence Expy Dept 460, Santa Clara, CA 95051-5173 Ph: () -	Kevin Phan, 710 Lawrence Expy Dept 460, Santa Clara, CA 95051-5173 Ph: (408) 871-9440

Reviews and Comments

Family Medicine Doctors in Santa Clara, CA

Dr. Janani Sankaran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2295
Dr. Dinah Lukshani Jeyasingh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy Dept 460, Santa Clara, CA 95051 Phone: 408-554-9800
Melissa Huck Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801
Qin Zhao, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Department 460 Family Medicine, Santa Clara, CA 95051 Phone: 626-636-5119
Katrina Borja Ang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801
Jennica Kahkejian, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2165
Firozeh Rezvani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000

Kevin Phan, - Medicare Family Medicine in Santa Clara, CA