Dr Thuc Duy Phan, MD is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Gouverneur, New York. Dr Thuc Duy Phan is licensed to practice in New York (license number 269123) and his current practice location is 28 William St, Gouverneur, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 287-2811.
NPI number for Dr Thuc Duy Phan is 1205125291 and his current mailing address is 514 Rozelle Ave, Sugar Land, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205125291.
Physician's Profile
Full Name | Dr Thuc Duy Phan |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 28 William St, Gouverneur, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205125291
- Provider Enumeration Date: 03/31/2011
- Last Update Date: 11/16/2021
Medical Identifiers
Medical identifiers for Dr Thuc Duy Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205125291 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | R0297 (Texas) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 269123 (New York) | 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. Dr Thuc Duy 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 |
Dr Thuc Duy Phan, MD 514 Rozelle Ave, Sugar Land, TX 77498-3080 Ph: (281) 772-7400 | Dr Thuc Duy Phan, MD 28 William St, Gouverneur, NY 13642-1405 Ph: (315) 287-2811 |
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