Dr Kim Nguyen Phan, PHD in Garden Grove, CA - Medicare Psychologist Provider

Dr Kim Nguyen Phan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Garden Grove, California. Her current practice location is 12966 Euclid St, Suite 515, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 227-9770.

Dr Kim Nguyen Phan is licensed to practice in California (license number PSY17605) 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 1245327071.

Contact Information

	Dr Kim Nguyen Phan, PHD
	12966 Euclid St, Suite 515, Garden Grove, CA 92840-5200
	(714) 227-9770
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kim Nguyen Phan
Gender	Female
Speciality	Psychologist - Clinical
Location	12966 Euclid St, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245327071
Provider Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1557706439
Enrollment ID: I20240301000834

Medical Identifiers

Medical identifiers for Dr Kim Nguyen Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245327071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY17605 (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. Dr Kim Nguyen Phan allows following entities to bill medicare on her behalf.

Entity Name	Inland Psychiatric Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736

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. Dr Kim Nguyen 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
Dr Kim Nguyen Phan, PHD 26345 Yolanda St, Laguna Hills, CA 92656-3114 Ph: (949) 831-1394	Dr Kim Nguyen Phan, PHD 12966 Euclid St, Suite 515, Garden Grove, CA 92840-5200 Ph: (714) 227-9770

Reviews and Comments

Psychologist in Garden Grove, CA

Ms. Karen Sue Ross, MSW IN CALIF LCSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12377 Lewis St, Suite # 104, Garden Grove, CA 92840 Phone: 714-703-1366 Fax: 714-750-0464
Dr. Jessica Eldridge, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12777 Valley View, Suite 212, Garden Grove, CA 92845 Phone: 562-315-8114
Dr. Curtis C Hsia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12668 Chapman Ave Unit 2414, Garden Grove, CA 92840 Phone: 626-523-0508
Dr. Harrell M Reznick, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12792 Longden St, Garden Grove, CA 92845 Phone: 714-891-1420
Melanie Stephanie Aguirre, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12061 Candy Ln, Garden Grove, CA 92840 Phone: 714-910-2040
Dr. Cindy Greenslade, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12792 Valley View St Ste 209, Garden Grove, CA 92845 Phone: 714-403-7356

Dr Kim Nguyen Phan, PHD - Medicare Psychologist in Garden Grove, CA