Linda Kim Phan, MD in Lafayette, IN - Medicare Internal Medicine

Linda Kim Phan, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Lafayette, Indiana. Her current practice location is 5165 Mccarty Ln, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 448-8000.

Linda Kim Phan is licensed to practice in Indiana (license number 01094355A) 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 1639673221.

Contact Information

	Linda Kim Phan, MD
	5165 Mccarty Ln, Lafayette, IN 47905-8764
	(765) 448-8000
	(765) 838-4758

Map and Direction

Physician's Profile

Full Name	Linda Kim Phan
Gender	Female
Speciality	Internal Medicine - Critical Care Medicine
Location	5165 Mccarty Ln, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639673221
Provider Enumeration Date: 03/20/2018
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7517201197
Enrollment ID: I20230205000018

Medical Identifiers

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

Identifier	Type	State	Issuer
1639673221	NPI	-	NPPES
300096078	Medicaid	IN
815500692	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	01094355A (Indiana)	Primary
207R00000X	Internal Medicine	01094355A (Indiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	01094355A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Linda Kim Phan allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Linda Kim 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
Linda Kim Phan, MD 2212 S 12th St, Tacoma, WA 98405-3026 Ph: () -	Linda Kim Phan, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000

Reviews and Comments

Internal Medicine Doctors in Lafayette, IN

Michelle B Herberts, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564
Dr. Carlos Salazar Carcamo, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444
Maria L Srour, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7631
Steven Rudolf Steinhubl, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333
Michael Leo Hogan, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831
Carlos A Gambirazio, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624
Dr. Christopher Patrick Kaup, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698

Linda Kim Phan, MD - Medicare Internal Medicine in Lafayette, IN