Phuong Pham, in Mesa, AZ - Medicare Nurse Practitioner

Phuong Pham, is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. Her current practice location is 5602 E Main St, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 854-9004.

Phuong Pham is licensed to practice in Arizona (license number TEMP296404) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760094098.

Contact Information

	Phuong Pham,
	5602 E Main St, Mesa, AZ 85205-8813
	(480) 854-9004
	Not Available

Map and Direction

Provider's Profile

Full Name	Phuong Pham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5602 E Main St, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760094098
Provider Enumeration Date: 08/18/2020
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3971940388
Enrollment ID: I20240321000639

Medical Identifiers

Medical identifiers for Phuong Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760094098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN193077 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	TEMP296404 (Arizona)	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. Phuong Pham allows following entities to bill medicare on her behalf.

Entity Name	Arizona Family & Geriatric Medicine, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740596733 PECOS PAC ID: 3476733551 Enrollment ID: O20110207000497

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. Phuong 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
Phuong Pham, 5602 E Main St, Mesa, AZ 85205-8813 Ph: (480) 347-8618	Phuong Pham, 5602 E Main St, Mesa, AZ 85205-8813 Ph: (480) 854-9004

Reviews and Comments

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Phuong Pham, - Medicare Nurse Practitioner in Mesa, AZ