Anthony Bao Pham, in Anaheim, CA - Medicare Nurse Practitioner

Anthony Bao Pham, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Anaheim, California. His current practice location is 421 N Brookhurst St Ste 119, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 361-0898.

Anthony Bao Pham is licensed to practice in California (license number 95021385) 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 1629796438.

Contact Information

	Anthony Bao Pham,
	421 N Brookhurst St Ste 119, Anaheim, CA 92801-5618
	(714) 361-0898
	Not Available

Map and Direction

Provider's Profile

Full Name	Anthony Bao Pham
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	421 N Brookhurst St Ste 119, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629796438
Provider Enumeration Date: 08/17/2022
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8426421280
Enrollment ID: I20230227002268

Medical Identifiers

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

Identifier	Type	State	Issuer
1629796438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95021385 (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. Anthony Bao Pham allows following entities to bill medicare on his behalf.

Entity Name	Medard Sison Np, A Professional Nursing Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528693579 PECOS PAC ID: 5294151635 Enrollment ID: O20200817002415

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. Anthony Bao 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
Anthony Bao Pham, 421 N Brookhurst St Ste 119, Anaheim, CA 92801-5618 Ph: () -	Anthony Bao Pham, 421 N Brookhurst St Ste 119, Anaheim, CA 92801-5618 Ph: (714) 361-0898

Reviews and Comments

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Anthony Bao Pham, - Medicare Nurse Practitioner in Anaheim, CA