Marian H Pham, MD is a medicare enrolled "Internal Medicine" physician in Centerville, Utah. Her current practice location is
26 S Main St, Centerville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 693-7900.
Marian H Pham is licensed to practice in Utah (license number 5786141-1205) 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 1285667980.
Physician's Profile
| Full Name | Marian H Pham |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 26 S Main St, Centerville, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285667980
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 09/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032190723
- Enrollment ID: I20050509000801
Medical Identifiers
Medical identifiers for Marian H Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285667980 | NPI | - | NPPES |
| 621795217018 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 5786141-1205 (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. Marian H Pham allows following entities to bill medicare on her behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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| Entity Name | University Of Utah Community Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598169203
PECOS PAC ID: 9739403569
Enrollment ID: O20150126002118 |
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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. Marian H 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 |
|---|
Marian H Pham, MD
26 S Main St,
Centerville, UT 84014-1817
Ph: (801) 693-7900 | Marian H Pham, MD
26 S Main St,
Centerville, UT 84014-1817
Ph: (801) 693-7900 |
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