Stephanie Phan, DO in Davenport, FL

Stephanie Phan, DO is a medicare enrolled "Pediatrics" physician in Davenport, Florida. Her current practice location is 410 Lionel Way Fl 3, Davenport, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 293-1191.

Stephanie Phan is licensed to practice in Florida (license number OS17951) 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 1639664717.

Contact Information

	Stephanie Phan, DO
	410 Lionel Way Fl 3, Davenport, FL 33837-7809
	(863) 293-1191
	(863) 837-5333

Map and Direction

Physician's Profile

Full Name	Stephanie Phan
Gender	Female
Speciality	Pediatrics
Location	410 Lionel Way Fl 3, Davenport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639664717
Provider Enumeration Date: 06/29/2018
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9830580455
Enrollment ID: I20211215001146

Medical Identifiers

Medical identifiers for Stephanie Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639664717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS17951 (Florida)	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. Stephanie Phan allows following entities to bill medicare on her behalf.

Entity Name	Bond Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881639193 PECOS PAC ID: 1355240722 Enrollment ID: O20040105000588

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. Stephanie 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 Address	Practice Location Address
Stephanie Phan, DO 500 E Central Ave, Winter Haven, FL 33880-3094 Ph: (863) 293-1191	Stephanie Phan, DO 410 Lionel Way Fl 3, Davenport, FL 33837-7809 Ph: (863) 293-1191

Reviews and Comments

Pediatrics Doctors in Davenport, FL

Dr. Edwin Michael C Sia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 103 Park Place Blvd, Davenport, FL 33837 Phone: 863-421-1855 Fax: 863-421-2624
Katherine Wheat Greer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 407-975-0412
Dr. Maria Cristina Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 103 Park Place Blvd, Davenport, FL 33837 Phone: 863-421-1855 Fax: 863-421-2624
Mrs. Harpreet K Kahlon, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Park Place Blvd, Suite A, Davenport, FL 33837 Phone: 863-421-2799 Fax: 863-421-2791
Eiman Elsayed, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2516 Sand Mine Rd, Davenport, FL 33897 Phone: 863-232-5527 Fax: 863-438-2776
Dr. Antonio De Jesus Carcamo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2320 North Blvd W, Davenport, FL 33837 Phone: 863-204-9485 Fax: 863-204-9015

Stephanie Phan, DO - Medicare Pediatrics in Davenport, FL