Thanh Trung Pham, in San Bernardino, CA - Medicare Physician Assistant

Thanh Trung Pham, is a medicare enrolled "Physician Assistant - Medical" in San Bernardino, California. His current practice location is 590 N Sierra Way, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 495-3595.

Thanh Trung Pham is licensed to practice in California (license number PA59381) 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 1285247049.

Contact Information

	Thanh Trung Pham,
	590 N Sierra Way, San Bernardino, CA 92410-4817
	(909) 495-3595
	(909) 763-2544

Map and Direction

Provider's Profile

Full Name	Thanh Trung Pham
Gender	Male
Speciality	Physician Assistant - Medical
Location	590 N Sierra Way, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285247049
Provider Enumeration Date: 08/30/2020
Last Update Date: 08/16/2022

Medicare PECOS Information:

PECOS PAC ID: 7113361700
Enrollment ID: I20240222002033

Medical Identifiers

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

Identifier	Type	State	Issuer
1285247049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA59381 (California)	Primary

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. Thanh Trung 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
Thanh Trung Pham, 590 N Sierra Way, San Bernardino, CA 92410-4817 Ph: (909) 495-3595	Thanh Trung Pham, 590 N Sierra Way, San Bernardino, CA 92410-4817 Ph: (909) 495-3595

Reviews and Comments

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Thanh Trung Pham, - Medicare Physician Assistant in San Bernardino, CA