Stephanie T Phan, MD in Los Angeles, CA - Medicare Internal Medicine

Stephanie T Phan, MD is a medicare enrolled "Internal Medicine" physician in Los Angeles, California. She went to Tufts University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Doctor On Demand Professionals Of California and her current practice location is 1520 San Pablo St, Suite 1000, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-5100.

Stephanie T Phan is licensed to practice in California (license number A114260) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1992008999.

Contact Information

	Stephanie T Phan, MD
	1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310
	(323) 442-5100
	Not Available

Map and Direction

Physician's Profile

Full Name	Stephanie T Phan
Gender	Female
Speciality	Internal Medicine
Experience	15 Years
Location	1520 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie T Phan attended and graduated from Tufts University School Of Medicine in 2009

NPI Data:

NPI Number: 1992008999
Provider Enumeration Date: 12/13/2010
Last Update Date: 08/12/2019

Medicare PECOS Information:

PECOS PAC ID: 0244480911
Enrollment ID: I20121016000266

Medical Identifiers

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

Identifier	Type	State	Issuer
1992008999	NPI	-	NPPES
1902846306	Other	CA	GROUP NPI
W18762	Other	CA	GROUP MEDICARE
GR0100430	Other	CA	GROUP MEDICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MED-PHYS-LIC-50617 (Montana)	Secondary
207R00000X	Internal Medicine	10774A (Wyoming)	Secondary
207R00000X	Internal Medicine	16716 (Nevada)	Secondary
207R00000X	Internal Medicine	MD-18837 (Hawaii)	Secondary
207R00000X	Internal Medicine	MD60688829 (Washington)	Secondary
207R00000X	Internal Medicine	MD179044 (Oregon)	Secondary
207R00000X	Internal Medicine	MD2016-0833 (New Mexico)	Secondary
207R00000X	Internal Medicine	DR.0057775 (Colorado)	Secondary
207R00000X	Internal Medicine	M-13534 (Idaho)	Secondary
207R00000X	Internal Medicine	115268 (Alaska)	Secondary
207R00000X	Internal Medicine	53132 (Arizona)	Secondary
207R00000X	Internal Medicine	A114260 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Doctor On Demand Professionals Of California	6406161538	20

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 T Phan allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Doctor On Demand Professionals Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346658614 PECOS PAC ID: 6406161538 Enrollment ID: O20180216001603

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 T 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 T Phan, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5100	Stephanie T Phan, MD 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310 Ph: (323) 442-5100

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Stephanie T Phan, MD - Medicare Internal Medicine in Los Angeles, CA