Angela Phan, MA, LPA is a
Psychologist based in Youngsville, North Carolina. Angela Phan is licensed to practice in North Carolina (license number 2472) and her current practice location is
1618 Us Hwy 1 North, Youngsville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 247-4750.
NPI number for Angela Phan is 1720100746 and her current mailing address is 1925 Edens Ridge Ave, Wake Forest, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720100746.
Healthcare Provider's Profile
Full Name | Angela Phan |
---|
Gender | Female |
---|
Speciality | Psychologist |
---|
Location | 1618 Us Hwy 1 North, Youngsville, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720100746
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 12/05/2018
Medical Identifiers
Medical identifiers for Angela Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720100746 | NPI | - | NPPES |
6005851 | Medicaid | NC | |
139TH | Other | NC | BCBS |
6107175 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2472 (North Carolina) | 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. Angela 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 |
Angela Phan, MA, LPA 1925 Edens Ridge Ave, Wake Forest, NC 27587-5172 Ph: (919) 247-4750 | Angela Phan, MA, LPA 1618 Us Hwy 1 North, Youngsville, NC 27596-9219 Ph: (919) 247-4750 |
Reviews and Comments