Miss Ellyn M Phan, MD - Medicare Internal Medicine in Lakewood, CA

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Miss Ellyn M Phan, MD is a medicare enrolled "Internal Medicine" physician in Lakewood, California. Her current practice location is 4447 Candlewood St, Lakewood, California. You can reach out to her office (for appointments etc.) via phone at (657) 241-9935.

Miss Ellyn M Phan is licensed to practice in California (license number A169745) 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 1972035350.

Contact Information

Miss Ellyn M Phan, MD
4447 Candlewood St,
Lakewood, CA 90712-1736
(657) 241-9935
Not Available

Map and Direction




Physician's Profile

Full NameMiss Ellyn M Phan
GenderFemale
SpecialityInternal Medicine
Location4447 Candlewood St, Lakewood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972035350
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 06/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224449335
  • Enrollment ID: I20201120002543

Medical Identifiers

Medical identifiers for Miss Ellyn M Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972035350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A169745 (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. Miss Ellyn M Phan allows following entities to bill medicare on her behalf.
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameKansal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043510183
PECOS PAC ID: 6406089739
Enrollment ID: O20140512001295
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915
Entity NameCaremore Health Medical Partners West, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073110607
PECOS PAC ID: 8921419813
Enrollment ID: O20201125000882

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. Miss Ellyn M 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 AddressPractice Location Address
Miss Ellyn M Phan, MD
4447 Candlewood St,
Lakewood, CA 90712-1736

Ph: (657) 241-9935		Miss Ellyn M Phan, MD
4447 Candlewood St,
Lakewood, CA 90712-1736

Ph: (657) 241-9935

Reviews and Comments


Internal Medicine Doctors in Lakewood, CA

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Scott A Gordon, MD
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Dr. Milan Gaurang Rawal, M.D.
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Khalid Saeed, MD
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Practice Location: 3650 E South St, Suite # 210, Lakewood, CA 90712
Phone: 562-630-2360    Fax: 562-633-0510

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.