Phung Ngoc Phan, in Anaheim, CA - Medicare Nurse Practitioner

Phung Ngoc Phan, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Anaheim, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advantage Neuropsychiatric Assoc and her current practice location is 1596 W Minerva Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 675-5925.

Phung Ngoc Phan is licensed to practice in California (license number NP95017548) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487152534.

Contact Information

	Phung Ngoc Phan,
	1596 W Minerva Ave, Anaheim, CA 92802-1624
	(714) 675-5925
	Not Available

Map and Direction

Provider's Profile

Full Name	Phung Ngoc Phan
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1596 W Minerva Ave, Anaheim, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Phung Ngoc Phan graduated from nursing school in 2020

NPI Data:

NPI Number: 1487152534
Provider Enumeration Date: 01/24/2018
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1759787161
Enrollment ID: I20210910000889

Medical Identifiers

Medical identifiers for Phung Ngoc Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487152534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95044332 (California)	Secondary
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	95044332 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95017548 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anaheim Global Medical Center	Anaheim, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantage Neuropsychiatric Assoc	0547395048	14

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. Phung Ngoc Phan allows following entities to bill medicare on her behalf.

Entity Name	Advantage Neuropsychiatric Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043455850 PECOS PAC ID: 0547395048 Enrollment ID: O20100323000710

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. Phung Ngoc 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
Phung Ngoc Phan, 1596 W Minerva Ave, Anaheim, CA 92802-1624 Ph: () -	Phung Ngoc Phan, 1596 W Minerva Ave, Anaheim, CA 92802-1624 Ph: (714) 675-5925

Reviews and Comments

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Phung Ngoc Phan, - Medicare Nurse Practitioner in Anaheim, CA