Thanh Phan, is a
Student In An Organized Health Care Education/training Program based in Roslindale, Massachusetts. Thanh Phan is licensed to practice in * (Not Available) (license number ) and her current practice location is
780 American Legion Hwy, Roslindale, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 460-8500.
NPI number for Thanh Phan is 1841766276 and her current mailing address is 21 Pleasant Valley Rd, Clinton, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841766276.
Healthcare Provider's Profile
| Full Name | Thanh Phan |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 780 American Legion Hwy, Roslindale, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841766276
- Provider Enumeration Date: 10/24/2018
- Last Update Date: 10/24/2018
Medical Identifiers
Medical identifiers for Thanh Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841766276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Thanh 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 |
|---|
Thanh Phan,
21 Pleasant Valley Rd,
Clinton, CT 06413-1247
Ph: () - | Thanh Phan,
780 American Legion Hwy,
Roslindale, MA 02131-3908
Ph: (617) 460-8500 |
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