Mr Tam Thanh Pham, PMHNP-BC in Atlanta, GA - Medicare Nurse Practitioner

Mr Tam Thanh Pham, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atlanta, Georgia. His current practice location is 690 Courtenay Dr Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 875-4551.

Mr Tam Thanh Pham is licensed to practice in Georgia (license number RN253843) 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 1609539618.

Contact Information

	Mr Tam Thanh Pham, PMHNP-BC
	690 Courtenay Dr Ne, Atlanta, GA 30306-3421
	(404) 875-4551
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tam Thanh Pham
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	690 Courtenay Dr Ne, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609539618
Provider Enumeration Date: 10/17/2021
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 1850750159
Enrollment ID: I20230705001733

Medical Identifiers

Medical identifiers for Mr Tam Thanh Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609539618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN253843 (Georgia)	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 Tam Thanh Pham allows following entities to bill medicare on his behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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 Tam Thanh 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
Mr Tam Thanh Pham, PMHNP-BC 125 Danube Tr, Stockbridge, GA 30281 Ph: (678) 986-3580	Mr Tam Thanh Pham, PMHNP-BC 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 Ph: (404) 875-4551

Reviews and Comments

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Mr Tam Thanh Pham, PMHNP-BC - Medicare Nurse Practitioner in Atlanta, GA