Jacqueline Pham, in Mission Viejo, CA - Medicare Nurse Practitioner

Jacqueline Pham, is a medicare enrolled "Nurse Practitioner - Family" in Mission Viejo, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Medical Group Of Orange County Inc and her current practice location is 25272 Marguerite Pkwy, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 581-9120.

Jacqueline Pham is licensed to practice in California (license number 95011232) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114534542.

Contact Information

	Jacqueline Pham,
	25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901
	(949) 581-9120
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Pham
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	25272 Marguerite Pkwy, Mission Viejo, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Pham graduated from nursing school in 2016

NPI Data:

NPI Number: 1114534542
Provider Enumeration Date: 09/29/2020
Last Update Date: 06/04/2021

Medicare PECOS Information:

PECOS PAC ID: 0648685818
Enrollment ID: I20210222000115

Medical Identifiers

Medical identifiers for Jacqueline Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114534542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011232 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Medical Group Of Orange County Inc	5991868929	55

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. Jacqueline Pham allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Jacqueline Pham 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
Jacqueline Pham, 14 Lucero W, Irvine, CA 92620-1921 Ph: (626) 991-7986	Jacqueline Pham, 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 Ph: (949) 581-9120

Reviews and Comments

Nurse Practitioner Nurses in Mission Viejo, CA

Chelsea Zimmerman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400
Diana Joan Munro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27481 Ganso, Mission Viejo, CA 92691 Phone: 949-468-6600
Yi-jywe Cheng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26611 Lira Cir, Mission Viejo, CA 92691 Phone: 714-907-5108
Ms. Susan T. Manabo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26455 Marsala Way, Mission Viejo, CA 92692 Phone: 949-348-0476 Fax: 213-484-9939
Darolyn Underwood Plant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23228 Madero, Mission Viejo, CA 92691 Phone: 949-454-3940
Ms. Brendi M Gayle, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400
Ms. Alice Marie Daugherty, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27871 Medical Center Rd, Suite 240, Mission Viejo, CA 92691 Phone: 949-364-5090 Fax: 949-542-8710

Jacqueline Pham, - Medicare Nurse Practitioner in Mission Viejo, CA