Trung Tin Phan, in Suwanee, GA - Medicare Physical Therapist Provider

Trung Tin Phan, is a medicare enrolled "Physical Therapist" provider in Suwanee, Georgia. His current practice location is 4310 Johns Creek Pkwy Ste 130, Suwanee, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 738-9657.

Trung Tin Phan is licensed to practice in Georgia (license number PT015913) 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 1093446221.

Contact Information

	Trung Tin Phan,
	4310 Johns Creek Pkwy Ste 130, Suwanee, GA 30024-6092
	(770) 738-9657
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trung Tin Phan
Gender	Male
Speciality	Physical Therapist
Location	4310 Johns Creek Pkwy Ste 130, Suwanee, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093446221
Provider Enumeration Date: 06/20/2022
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1658752423
Enrollment ID: I20220726000652

Medical Identifiers

Medical identifiers for Trung Tin Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093446221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT015913 (Georgia)	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. Trung Tin 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
Trung Tin Phan, 2381 Eastway Rd, Decatur, GA 30033-5543 Ph: (916) 719-1709	Trung Tin Phan, 4310 Johns Creek Pkwy Ste 130, Suwanee, GA 30024-6092 Ph: (770) 738-9657

Reviews and Comments

Physical Therapist in Suwanee, GA

Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596
Maria E. Doolen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857
Avaniben Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388
David A Linbo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2576 Lawrenceville Suwanee Rd Bldg 1, Suwanee, GA 30024 Phone: 770-962-4043
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Peachtree Pkwy Ste 310, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082
Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024 Phone: 404-367-2080 Fax: 770-495-3493

Trung Tin Phan, - Medicare Physical Therapist in Suwanee, GA