Tran Mai Phan, NP in Cumberland, MD - Medicare Nurse Practitioner

Tran Mai Phan, NP is a medicare enrolled "Nurse Practitioner - Family" in Cumberland, Maryland. Her current practice location is 11604 Bedford Rd Ne Ste 8, Cumberland, Maryland. You can reach out to her office (for appointments etc.) via phone at (949) 929-0545.

Tran Mai Phan is licensed to practice in Maryland (license number AC004970) 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 1396451704.

Contact Information

	Tran Mai Phan, NP
	11604 Bedford Rd Ne Ste 8, Cumberland, MD 21502-6994
	(949) 929-0545
	Not Available

Map and Direction

Provider's Profile

Full Name	Tran Mai Phan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11604 Bedford Rd Ne Ste 8, Cumberland, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396451704
Provider Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6800269606
Enrollment ID: I20230225000475

Medical Identifiers

Medical identifiers for Tran Mai Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396451704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AC004970 (Maryland)	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. Tran Mai Phan allows following entities to bill medicare on her behalf.

Entity Name	Vitality Np Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912574500 PECOS PAC ID: 0345635157 Enrollment ID: O20220314001957

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. Tran Mai 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
Tran Mai Phan, NP 606 Washington St, Cumberland, MD 21502-2711 Ph: (949) 929-0545	Tran Mai Phan, NP 11604 Bedford Rd Ne Ste 8, Cumberland, MD 21502-6994 Ph: (949) 929-0545

Reviews and Comments

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Tran Mai Phan, NP - Medicare Nurse Practitioner in Cumberland, MD