Peter Pham, DO is a medicare enrolled "Hospitalist" physician in Bridgeton, New Jersey. His current practice location is
29 Silver Brook Dr, Bridgeton, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 805-6036.
Peter Pham is licensed to practice in New Jersey (license number 25MB09210600) 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 1063708576.
Physician's Profile
Full Name | Peter Pham |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 29 Silver Brook Dr, Bridgeton, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063708576
- Provider Enumeration Date: 06/22/2011
- Last Update Date: 10/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 5092941286
- Enrollment ID: I20131118000721
Medical Identifiers
Medical identifiers for Peter Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063708576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 25MB09210600 (New Jersey) | 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. Peter Pham allows following entities to bill medicare on his behalf.
Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
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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. Peter 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 |
Peter Pham, DO 29 Silver Brook Dr, Bridgeton, NJ 08302-9407 Ph: (609) 805-6036 | Peter Pham, DO 29 Silver Brook Dr, Bridgeton, NJ 08302-9407 Ph: (609) 805-6036 |
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