Jacquelyn Dan-phung Nguyen, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Oreland, Pennsylvania. Her current practice location is
2103 Lantern Ln, Oreland, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(901) 641-3000.
Jacquelyn Dan-phung Nguyen is licensed to practice in Tennessee (license number 4276) 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 1912513987.
Provider's Profile
Full Name | Jacquelyn Dan-phung Nguyen |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 2103 Lantern Ln, Oreland, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912513987
- Provider Enumeration Date: 09/16/2020
- Last Update Date: 03/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789095134
- Enrollment ID: I20201116003205
Medical Identifiers
Medical identifiers for Jacquelyn Dan-phung Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912513987 | NPI | - | NPPES |
1157550 | Other | TN | NCCPA |
4276 | Other | TN | PHYSICIAN ASSISTANT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 4276 (Tennessee) | Secondary |
363AS0400X | Physician Assistant - Surgical | 4276 (Tennessee) | 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. Jacquelyn Dan-phung Nguyen 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 |
Jacquelyn Dan-phung Nguyen, PA-C 2103 Lantern Ln, Oreland, PA 19075-2513 Ph: (267) 626-1377 | Jacquelyn Dan-phung Nguyen, PA-C 2103 Lantern Ln, Oreland, PA 19075-2513 Ph: (901) 641-3000 |
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