Jay Phan, - Nurse Practitioner in Twin Falls, ID

Jay Phan, is a Nurse Practitioner - Family based in Twin Falls, Idaho. Jay Phan is licensed to practice in Idaho (license number 3561779) and his current practice location is 419 Shoup Ave W, Twin Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (209) 996-1700.

NPI number for Jay Phan is 1669299152 and his current mailing address is 604 Lynwood Blvd, Twin Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669299152.

Contact Information

Jay Phan,
419 Shoup Ave W,
Twin Falls, ID 83301-5028
(209) 996-1700
Not Available

Map and Direction




Provider's Profile

Full NameJay Phan
GenderMale
SpecialityNurse Practitioner - Family
Location419 Shoup Ave W, Twin Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669299152
  • Provider Enumeration Date: 09/25/2024
  • Last Update Date: 09/25/2024

Medical Identifiers

Medical identifiers for Jay Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669299152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3561779 (Idaho)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. Jay Phan 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
Jay Phan,
604 Lynwood Blvd,
Twin Falls, ID 83301-4133

Ph: () -
Jay Phan,
419 Shoup Ave W,
Twin Falls, ID 83301-5028

Ph: (209) 996-1700

Reviews and Comments


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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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