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

Peter Pham, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orange, California. His current practice location is 1100 W Town And Country Rd Ste 1250, Orange, California. You can reach out to his office (for appointments etc.) via phone at (949) 229-0854.

Peter Pham is licensed to practice in California (license number 95019677) 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 1366908543.

Contact Information

Peter Pham, NP
1100 W Town And Country Rd Ste 1250,
Orange, CA 92868-4633
(949) 229-0854
(870) 201-4413

Map and Direction




Provider's Profile

Full NamePeter Pham
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1100 W Town And Country Rd Ste 1250, Orange, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366908543
  • Provider Enumeration Date: 02/13/2019
  • Last Update Date: 11/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517338684
  • Enrollment ID: I20230127001806

Medical Identifiers

Medical identifiers for Peter Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366908543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95181593 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11021928 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95019677 (California)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10031892 (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1170196 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 882787 (Nevada)Secondary

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. Peter Pham allows following entities to bill medicare on his behalf.
Entity NameGrow Healthcare Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080
Entity NamePeter Pham Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750082780
PECOS PAC ID: 7911364351
Enrollment ID: O20230531000735

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. Peter 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
Peter Pham, NP
1100 W Town And Country Rd Ste 1250,
Orange, CA 92868-4633

Ph: (949) 229-0854
Peter Pham, NP
1100 W Town And Country Rd Ste 1250,
Orange, CA 92868-4633

Ph: (949) 229-0854

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.