Stacey Thao Phan, DO - General Practice in Normal, IL

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Stacey Thao Phan, DO is a General Practice physician based in Normal, Illinois. Stacey Thao Phan is licensed to practice in Illinois (license number ) and her current practice location is 1300 Franklin Ave Ste 100, Normal, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 268-3455.

NPI number for Stacey Thao Phan is 1235263385 and her current mailing address is 6801 Green Meadow Ln, Oklahoma City, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235263385.

Contact Information

Stacey Thao Phan, DO
1300 Franklin Ave Ste 100,
Normal, IL 61761-3676
(309) 268-3455
(309) 268-5620

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Physician's Profile

Full NameStacey Thao Phan
GenderFemale
SpecialityGeneral Practice
Location1300 Franklin Ave Ste 100, Normal, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235263385
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Stacey Thao Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235263385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (Illinois)Primary

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. Stacey Thao Phan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacey Thao Phan, DO
6801 Green Meadow Ln,
Oklahoma City, OK 73132-3957

Ph: (405) 245-0747		Stacey Thao Phan, DO
1300 Franklin Ave Ste 100,
Normal, IL 61761-3676

Ph: (309) 268-3455

Reviews and Comments


General Practice Doctors in Normal, IL


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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).

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