Timothy Phan, CRNA is a
Nurse Anesthetist, Certified Registered based in Pahrump, Nevada. Timothy Phan is licensed to practice in Nevada (license number CRNA000265) and his current practice location is
330 S Lola Ln, Suite 200, Pahrump, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 751-7500.
NPI number for Timothy Phan is 1417949314 and his current mailing address is 7385 S Pecos Rd, Ste 103, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417949314.
Provider's Profile
Full Name | Timothy Phan |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 330 S Lola Ln, Pahrump, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417949314
- Provider Enumeration Date: 08/17/2005
- Last Update Date: 12/20/2016
Medical Identifiers
Medical identifiers for Timothy Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417949314 | NPI | - | NPPES |
100505726 | Medicaid | NV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | CRNA000265 (Nevada) | 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. Timothy Phan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Timothy Phan, CRNA 7385 S Pecos Rd, Ste 103, Las Vegas, NV 89120-3768 Ph: (888) 221-2297 | Timothy Phan, CRNA 330 S Lola Ln, Suite 200, Pahrump, NV 89048-0878 Ph: (775) 751-7500 |
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