Calvin Tham, FNP-BC in Boston, MA - Medicare Nurse Practitioner

Calvin Tham, FNP-BC is a medicare enrolled "Nurse Practitioner" in Boston, Massachusetts. His current practice location is 185 Pilgrim Rd, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 667-7000.

Calvin Tham is licensed to practice in Massachusetts (license number RN2300087) 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 1114641214.

Contact Information

	Calvin Tham, FNP-BC
	185 Pilgrim Rd, Boston, MA 02215-5324
	(617) 667-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Calvin Tham
Gender	Male
Speciality	Nurse Practitioner
Location	185 Pilgrim Rd, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114641214
Provider Enumeration Date: 10/03/2022
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 1456724665
Enrollment ID: I20230308001547

Medical Identifiers

Medical identifiers for Calvin Tham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114641214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2300087 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	RN2300087 (Massachusetts)	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. Calvin Tham allows following entities to bill medicare on his behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918

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. Calvin Tham 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
Calvin Tham, FNP-BC 452 Hanover St, Hanover, MA 02339-2217 Ph: (781) 888-0196	Calvin Tham, FNP-BC 185 Pilgrim Rd, Boston, MA 02215-5324 Ph: (617) 667-7000

Reviews and Comments

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Calvin Tham, FNP-BC - Medicare Nurse Practitioner in Boston, MA