Liza Marie Patawaran Pham, MD in Modesto, CA

Liza Marie Patawaran Pham, MD is a medicare enrolled "Pediatrics" physician in Modesto, California. Her current practice location is 1114 6th St, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 576-2845.

Liza Marie Patawaran Pham is licensed to practice in California (license number A100406) 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 1831395102.

Contact Information

	Liza Marie Patawaran Pham, MD
	1114 6th St, Modesto, CA 95354-2203
	(209) 576-2845
	(209) 576-8842

Map and Direction

Physician's Profile

Full Name	Liza Marie Patawaran Pham
Gender	Female
Speciality	Pediatrics
Location	1114 6th St, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831395102
Provider Enumeration Date: 06/25/2007
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1052407145
Enrollment ID: I20071020000197

Medical Identifiers

Medical identifiers for Liza Marie Patawaran Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831395102	NPI	-	NPPES
A100406	Other	CA	MEDICAL LIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A100406 (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. Liza Marie Patawaran Pham allows following entities to bill medicare on her 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. Liza Marie Patawaran 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
Liza Marie Patawaran Pham, MD 737 W Childs Ave, Merced, CA 95341-6805 Ph: (209) 383-1848	Liza Marie Patawaran Pham, MD 1114 6th St, Modesto, CA 95354-2203 Ph: (209) 576-2845

Reviews and Comments

Pediatrics Doctors in Modesto, CA

Charnjeet K Randhawa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 Fax: 559-459-4569
Chaithra Sreenath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Paradise Rd Ste E102, Modesto, CA 95351 Phone: 209-558-4000
Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842
Lee T Donohue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323
Dr. Mary Jessie Sumithra, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-1630

Liza Marie Patawaran Pham, MD - Medicare Pediatrics in Modesto, CA