Victoria Huynh Phan, is a medicare enrolled "Advanced Practice Midwife" in Gilroy, California. Her current practice location is
760 Renz Ln, Gilroy, California. You can reach out to her office (for appointments etc.) via phone at
(408) 847-1739.
Victoria Huynh Phan is licensed to practice in California (license number 236079) 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 1265076996.
Provider's Profile
| Full Name | Victoria Huynh Phan |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 760 Renz Ln, Gilroy, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265076996
- Provider Enumeration Date: 11/06/2019
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173959590
- Enrollment ID: I20240203000484
Medical Identifiers
Medical identifiers for Victoria Huynh Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265076996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 95013129 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 236079 (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. Victoria Huynh Phan allows following entities to bill medicare on her behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Victoria Huynh 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 |
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Victoria Huynh Phan,
1691 The Alameda,
San Jose, CA 95126-2203
Ph: (408) 287-7526 | Victoria Huynh Phan,
760 Renz Ln,
Gilroy, CA 95020-9584
Ph: (408) 847-1739 |
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