Tom Pham, MD in New Berlin, WI - Medicare Pediatrics

Tom Pham, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in New Berlin, Wisconsin. His current practice location is 4855 S Moorland Rd Fl 3, New Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 432-7599.

Tom Pham is licensed to practice in Texas (license number T7331) 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 1366939795.

Contact Information

	Tom Pham, MD
	4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494
	(262) 432-7599
	(262) 432-7694

Map and Direction

Physician's Profile

Full Name	Tom Pham
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	4855 S Moorland Rd Fl 3, New Berlin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366939795
Provider Enumeration Date: 04/20/2018
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7416325493
Enrollment ID: I20221122003513

Medical Identifiers

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

Identifier	Type	State	Issuer
1366939795	NPI	-	NPPES
1366939795	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	75525 (Wisconsin)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	T7331 (Texas)	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. Tom Pham allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Tom 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
Tom Pham, MD Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 476-8559	Tom Pham, MD 4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 Ph: (262) 432-7599

Reviews and Comments

Pediatrics Doctors in New Berlin, WI

Dr. Carl J Peluso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694
Sadia T Ansari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694
Dr. Olubunmi Abiola Olorundami, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Urgent Care Clinic - 3rd Floor, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694
Michael Gutzeit, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd Ste 250, New Berlin, WI 53151 Phone: 262-789-6020 Fax: 262-789-6025
Chris M Zukowski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803
Alina Huang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694
Roopa M. Bhupathi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, 3rd Floor, New Berlin, WI 53151 Phone: 262-432-7599 Fax: 262-432-7694

Tom Pham, MD - Medicare Pediatrics in New Berlin, WI