Miadette Pheng-phal, NP-C | |
269 Union St, Lynn, MA 01901-1314 | |
(781) 581-3900 | |
Not Available |
Full Name | Miadette Pheng-phal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 269 Union St, Lynn, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073044616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN2270203 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Shore Medical Center - | Salem, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bayon Medical Group, Llc | 3779846241 | 5 |
Entity Name | Lynn Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997691 PECOS PAC ID: 0042217507 Enrollment ID: O20061026000348 |
Entity Name | Bayon Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154866234 PECOS PAC ID: 3779846241 Enrollment ID: O20180416000481 |
Mailing Address | Practice Location Address |
---|---|
Miadette Pheng-phal, NP-C 269 Union St, Lynn, MA 01901-1314 Ph: () - | Miadette Pheng-phal, NP-C 269 Union St, Lynn, MA 01901-1314 Ph: (781) 581-3900 |
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