Dararoth Tony Lam, NP - Nurse Practitioner in Phoenix, AZ

Dararoth Tony Lam, NP is a Nurse Practitioner - Psychiatric/mental Health based in Phoenix, Arizona. Dararoth Tony Lam is licensed to practice in Arizona (license number 295609) and his current practice location is 15650 N Black Canyon Hwy Ste 245b, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 675-2747.

NPI number for Dararoth Tony Lam is 1467236356 and his current mailing address is 2678 W Montgomery Dr, Chandler, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467236356.

Contact Information

Dararoth Tony Lam, NP
15650 N Black Canyon Hwy Ste 245b,
Phoenix, AZ 85053-4041
(602) 675-2747
Not Available

Map and Direction




Provider's Profile

Full NameDararoth Tony Lam
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15650 N Black Canyon Hwy Ste 245b, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467236356
  • Provider Enumeration Date: 08/22/2023
  • Last Update Date: 02/08/2024

Medical Identifiers

Medical identifiers for Dararoth Tony Lam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467236356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 295609 (Arizona)Primary

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. Dararoth Tony Lam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dararoth Tony Lam, NP
2678 W Montgomery Dr,
Chandler, AZ 85224-7854

Ph: (480) 577-5323
Dararoth Tony Lam, NP
15650 N Black Canyon Hwy Ste 245b,
Phoenix, AZ 85053-4041

Ph: (602) 675-2747

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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