Tai Thien Phung, PMHNP in Rosemead, CA - Medicare Nurse Practitioner

Tai Thien Phung, PMHNP is a medicare enrolled "Nurse Practitioner" in Rosemead, California. His current practice location is 9353 Valley Blvd, Rosemead, California. You can reach out to his office (for appointments etc.) via phone at (626) 287-2988.

Tai Thien Phung is licensed to practice in California (license number NP95019571) 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 1760098032.

Contact Information

	Tai Thien Phung, PMHNP
	9353 Valley Blvd, Rosemead, CA 91770-1923
	(626) 287-2988
	Not Available

Map and Direction

Provider's Profile

Full Name	Tai Thien Phung
Gender	Male
Speciality	Nurse Practitioner
Location	9353 Valley Blvd, Rosemead, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760098032
Provider Enumeration Date: 09/21/2020
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 8325412216
Enrollment ID: I20230315002630

Medical Identifiers

Medical identifiers for Tai Thien Phung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760098032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	780978 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	NP95019571 (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. Tai Thien Phung allows following entities to bill medicare on his behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Tai Thien Phung 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
Tai Thien Phung, PMHNP 9353 Valley Blvd, Rosemead, CA 91770-1923 Ph: (626) 287-2988	Tai Thien Phung, PMHNP 9353 Valley Blvd, Rosemead, CA 91770-1923 Ph: (626) 287-2988

Reviews and Comments

Nurse Practitioner Nurses in Rosemead, CA

Guimei Linda Yang, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8941 Valley Blvd # 201, Rosemead, CA 91770 Phone: 626-943-8988 Fax: 626-943-8999
Rong Zhou, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8111 Newmark Ave Unit 1021, Rosemead, CA 91770 Phone: 626-407-9292
Weiqin Xu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8843 Valley Blvd, Rosemead, CA 91770 Phone: 626-287-8866
Xin Feng, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9308 Valley Blvd, Rosemead, CA 91770 Phone: 626-288-8881 Fax: 626-288-6648
Michelle Yicha Chen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3006 San Gabriel Blvd, Rosemead, CA 91770 Phone: 626-773-8900
Connie Dao, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9308 Valley Blvd, Rosemead, CA 91770 Phone: 626-288-8881 Fax: 626-288-6648
Ailun Ma, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8843 Valley Blvd, Rosemead, CA 91770 Phone: 626-287-8866 Fax: 626-287-8861

Tai Thien Phung, PMHNP - Medicare Nurse Practitioner in Rosemead, CA