Kimberly Pham, OD in Long Beach, CA - Medicare Optometrist Provider

Kimberly Pham, OD is a medicare enrolled "Optometrist" provider in Long Beach, California. Her current practice location is 6332 E Spring St, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 421-4488.

Kimberly Pham is licensed to practice in California (license number 34176TLG) 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 1780157420.

Contact Information

	Kimberly Pham, OD
	6332 E Spring St, Long Beach, CA 90815-1424
	(562) 421-4488
	(562) 421-0233

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Pham
Gender	Female
Speciality	Optometrist
Location	6332 E Spring St, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780157420
Provider Enumeration Date: 01/04/2019
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 3375948631
Enrollment ID: I20210824003580

Medical Identifiers

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

Identifier	Type	State	Issuer
1780157420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	34176TLG (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. Kimberly Pham allows following entities to bill medicare on her behalf.

Provider Name	Third Optometric Care Of California
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013516103 PECOS PAC ID: 8325456536 Enrollment ID: O20210427002381

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. Kimberly 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
Kimberly Pham, OD 6332 E Spring St, Long Beach, CA 90815-1424 Ph: (562) 421-4488	Kimberly Pham, OD 6332 E Spring St, Long Beach, CA 90815-1424 Ph: (562) 421-4488

Reviews and Comments

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Kimberly Pham, OD - Medicare Optometrist in Long Beach, CA