Christine Kieu Phan, MSN, PMHNP-BC in La Palma, CA

Christine Kieu Phan, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner" in La Palma, California. Her current practice location is 20 Centerpointe Dr, La Palma, California. You can reach out to her office (for appointments etc.) via phone at (657) 325-8313.

Christine Kieu Phan is licensed to practice in California (license number 95029861) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487400917.

Contact Information

	Christine Kieu Phan, MSN, PMHNP-BC
	20 Centerpointe Dr, La Palma, CA 90623-2505
	(657) 325-8313
	Not Available

Map and Direction

Provider's Profile

Full Name	Christine Kieu Phan
Gender	Female
Speciality	Nurse Practitioner
Location	20 Centerpointe Dr, La Palma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487400917
Provider Enumeration Date: 04/25/2024
Last Update Date: 11/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7315488988
Enrollment ID: I20240923002880

Medical Identifiers

Medical identifiers for Christine Kieu Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487400917	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95029861 (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. Christine Kieu Phan allows following entities to bill medicare on her behalf.

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Christine Kieu 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
Christine Kieu Phan, MSN, PMHNP-BC 20 Centerpointe Dr Ste 130, La Palma, CA 90623-2562 Ph: (657) 325-8313	Christine Kieu Phan, MSN, PMHNP-BC 20 Centerpointe Dr, La Palma, CA 90623-2505 Ph: (657) 325-8313

Reviews and Comments

Nurse Practitioner Nurses in La Palma, CA

Michiko Kayahara, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5451 La Palma Ave Ste 47, La Palma, CA 90623 Phone: 714-562-8560
Lindsay Marilyn Barrientos, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Centerpointe Dr Ste 130, La Palma, CA 90623 Phone: 657-325-8313 Fax: 714-426-8178
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Namju Kim Shin, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5471 La Palma Ave Ste 105, La Palma, CA 90623 Phone: 714-695-2388 Fax: 714-695-2391
Jean Chung, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Centerpointe Dr, La Palma, CA 90623 Phone: 714-522-8020

Christine Kieu Phan, MSN, PMHNP-BC - Medicare Nurse Practitioner in La Palma, CA