Lilie Mytrang Pham, DNP, FNP-C - Medicare Nurse Practitioner in Santa Cruz, CA

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Lilie Mytrang Pham, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Santa Cruz, California. She went to Creighton University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice County Of Santa Cruz and her current practice location is 115a Coral St, Santa Cruz, California. You can reach out to her office (for appointments etc.) via phone at (831) 454-2080.

Lilie Mytrang Pham is licensed to practice in California (license number 95008298) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144504317.

Contact Information

Lilie Mytrang Pham, DNP, FNP-C
115a Coral St,
Santa Cruz, CA 95060-2131
(831) 454-2080
Not Available

Map and Direction




Provider's Profile

Full NameLilie Mytrang Pham
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location115a Coral St, Santa Cruz, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lilie Mytrang Pham attended and graduated from Creighton University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1144504317
  • Provider Enumeration Date: 10/05/2011
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547692253
  • Enrollment ID: I20200403000742

Medical Identifiers

Medical identifiers for Lilie Mytrang Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144504317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95008298 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
County Of Santa Cruz761887291257

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. Lilie Mytrang Pham allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659315430
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000370
Entity NameCounty Of Santa Cruz
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770709149
PECOS PAC ID: 7618872912
Enrollment ID: O20031201000402

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. Lilie Mytrang 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 AddressPractice Location Address
Lilie Mytrang Pham, DNP, FNP-C
1080 Emeline Ave,
Santa Cruz, CA 95060-1966

Ph: (402) 201-5146		Lilie Mytrang Pham, DNP, FNP-C
115a Coral St,
Santa Cruz, CA 95060-2131

Ph: (831) 454-2080

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.