Kim An Pham, - Medicare Nurse Practitioner in Raleigh, NC

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Kim An Pham, is a medicare enrolled "Nurse Practitioner - Family" in Raleigh, North Carolina. Her current practice location is 2340 Spring Forest Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 790-6401.

Kim An Pham is licensed to practice in North Carolina (license number 5018197) 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 1700571395.

Contact Information

Kim An Pham,
2340 Spring Forest Rd,
Raleigh, NC 27615-7528
(919) 790-6401
Not Available

Map and Direction




Provider's Profile

Full NameKim An Pham
GenderFemale
SpecialityNurse Practitioner - Family
Location2340 Spring Forest Rd, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700571395
  • Provider Enumeration Date: 04/10/2023
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092163774
  • Enrollment ID: I20231120001851

Medical Identifiers

Medical identifiers for Kim An Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700571395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 9535823 (Florida)Secondary
364SF0001XClinical Nurse Specialist - Family Health 5018197 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5018197 (North Carolina)Primary

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. Kim An Pham allows following entities to bill medicare on her behalf.
Entity NamePreston Dermatology & Skin Surgery Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508395468
PECOS PAC ID: 0547533291
Enrollment ID: O20170831002792

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. Kim An 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
Kim An Pham,
2340 Spring Forest Rd,
Raleigh, NC 27615-7528

Ph: (919) 790-6401		Kim An Pham,
2340 Spring Forest Rd,
Raleigh, NC 27615-7528

Ph: (919) 790-6401

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.