Mr Brandon Phan, PMHNP in Los Gatos, CA - Medicare Nurse Practitioner

Mr Brandon Phan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Gatos, California. His current practice location is 61 Victory Ln Ste A, Los Gatos, California. You can reach out to his office (for appointments etc.) via phone at (408) 363-6533.

Mr Brandon Phan is licensed to practice in California (license number 95026423) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831979863.

Contact Information

	Mr Brandon Phan, PMHNP
	61 Victory Ln Ste A, Los Gatos, CA 95030-5920
	(408) 363-6533
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Brandon Phan
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	61 Victory Ln Ste A, Los Gatos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831979863
Provider Enumeration Date: 10/05/2023
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5092155366
Enrollment ID: I20240503000454

Medical Identifiers

Medical identifiers for Mr Brandon Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831979863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95026423 (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. Mr Brandon Phan allows following entities to bill medicare on his behalf.

Entity Name	Thinh Duy Mai Md Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770905945 PECOS PAC ID: 5698093581 Enrollment ID: O20150403000623

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. Mr Brandon Phan 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
Mr Brandon Phan, PMHNP 61 Victory Ln Ste A, Los Gatos, CA 95030-5920 Ph: () -	Mr Brandon Phan, PMHNP 61 Victory Ln Ste A, Los Gatos, CA 95030-5920 Ph: (408) 363-6533

Reviews and Comments

Nurse Practitioner Nurses in Los Gatos, CA

Leesa Jayesh Parikh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Los Gatos Saratoga Rd Ste A, Los Gatos, CA 95030 Phone: 408-686-9772
Kiranjit Kaur, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15047 Los Gatos Blvd Ste 200, Los Gatos, CA 95032 Phone: 408-364-6799
Tiffany Chan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-523-3590
Ms. Alyssa Gomez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032 Phone: 408-364-6799 Fax: 408-378-4510
Stephanie Kurihara, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Knowles Dr Ste 212, Los Gatos, CA 95032 Phone: 408-628-0783
Mrs. Linda Mavity, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032 Phone: 408-358-2511 Fax: 408-358-1009
Kyra Marie Dougherty Delapedraja, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15400 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-523-3640

Mr Brandon Phan, PMHNP - Medicare Nurse Practitioner in Los Gatos, CA