Lisa Pham, NP in Orange, CA - Medicare Nurse Practitioner

Lisa Pham, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Orange, California. Her current practice location is 101 The City Dr S, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 456-7890.

Lisa Pham is licensed to practice in California (license number 95021398) 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 1609591676.

Contact Information

	Lisa Pham, NP
	101 The City Dr S, Orange, CA 92868-3201
	(714) 456-7890
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Pham
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609591676
Provider Enumeration Date: 10/11/2022
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 8527438126
Enrollment ID: I20221222001574

Medical Identifiers

Medical identifiers for Lisa Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609591676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95021398 (California)	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. Lisa Pham allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354

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. Lisa 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 Address	Practice Location Address
Lisa Pham, NP Po Box 232410, San Diego, CA 92193-2410 Ph: (800) 926-8273	Lisa Pham, NP 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-7890

Reviews and Comments

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Lisa Pham, NP - Medicare Nurse Practitioner in Orange, CA