Thomas Pham, DO in Culver City, CA

Thomas Pham, DO is a medicare enrolled "Pediatrics" physician in Culver City, California. His current practice location is 4316 Motor Ave, Culver City, California. You can reach out to his office (for appointments etc.) via phone at (510) 461-4447.

Thomas Pham is licensed to practice in California (license number 20A16896) 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 1124554639.

Contact Information

	Thomas Pham, DO
	4316 Motor Ave, Culver City, CA 90232-3449
	(510) 461-4447
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas Pham
Gender	Male
Speciality	Pediatrics
Location	4316 Motor Ave, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124554639
Provider Enumeration Date: 05/03/2017
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0648699223
Enrollment ID: I20200930003528

Medical Identifiers

Medical identifiers for Thomas Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124554639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	20A16896 (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. Thomas Pham allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Thomas 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
Thomas Pham, DO 4316 Motor Ave, Culver City, CA 90232-3449 Ph: () -	Thomas Pham, DO 4316 Motor Ave, Culver City, CA 90232-3449 Ph: (510) 461-4447

Reviews and Comments

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Lauren Wu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Inglewood Blvd Ste 101, Culver City, CA 90230 Phone: 310-392-8636
Michael A Kass, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3831 Hughes Ave, Ste 502, Culver City, CA 90232 Phone: 310-204-7030 Fax: 310-204-7033

Thomas Pham, DO - Medicare Pediatrics in Culver City, CA