Dr Jack M Pham, DNP, APRN, FNP-BC - Medicare Nurse Practitioner in Chicago, IL

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Dr Jack M Pham, DNP, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. His current practice location is 4947 N Winthrop Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 455-4325.

Dr Jack M Pham is licensed to practice in Illinois (license number 209027448) 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 1427566454.

Contact Information

Dr Jack M Pham, DNP, APRN, FNP-BC
4947 N Winthrop Ave,
Chicago, IL 60640-3607
(773) 455-4325
(773) 838-0902

Map and Direction




Provider's Profile

Full NameDr Jack M Pham
GenderMale
SpecialityNurse Practitioner - Family
Location4947 N Winthrop Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427566454
  • Provider Enumeration Date: 01/11/2018
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678933959
  • Enrollment ID: I20230718003247

Medical Identifiers

Medical identifiers for Dr Jack M Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427566454NPI-NPPES
2023019429OtherANCC
041460482OtherILIDFPR NURSING BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209027448 (Illinois)Primary
363L00000XNurse Practitioner 209027448 (Illinois)Secondary
363LP2300XNurse Practitioner - Primary Care 209027448 (Illinois)Secondary

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. Dr Jack M Pham allows following entities to bill medicare on his behalf.
Entity NameHeart Of Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619656832
PECOS PAC ID: 6204275365
Enrollment ID: O20240422003083

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. Dr Jack M 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
Dr Jack M Pham, DNP, APRN, FNP-BC
4947 N Winthrop Ave,
Chicago, IL 60640-3607

Ph: (773) 455-4325		Dr Jack M Pham, DNP, APRN, FNP-BC
4947 N Winthrop Ave,
Chicago, IL 60640-3607

Ph: (773) 455-4325

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.