My Phuong Thi Phan, NP in Orange, CA - Medicare Nurse Practitioner

My Phuong Thi Phan, NP is a medicare enrolled "Nurse Practitioner - Family" in Orange, California. Her current practice location is 101 The City Dr S Bldg 25, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 719-1136.

My Phuong Thi Phan is licensed to practice in California (license number 95008855) 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 1659878882.

Contact Information

	My Phuong Thi Phan, NP
	101 The City Dr S Bldg 25, Orange, CA 92868-3201
	(714) 719-1136
	(714) 456-2890

Map and Direction

Provider's Profile

Full Name	My Phuong Thi Phan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 The City Dr S Bldg 25, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659878882
Provider Enumeration Date: 04/13/2018
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 8729328745
Enrollment ID: I20190328001704

Medical Identifiers

Medical identifiers for My Phuong Thi Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659878882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	785271 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95008855 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95008855 (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. My Phuong Thi Phan allows following entities to bill medicare on her behalf.

Entity Name	University Of California Irvine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431

Entity Name	Regents Of The University Of
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366590762 PECOS PAC ID: 3779689518 Enrollment ID: O20070510000532

Entity Name	Global Transitional Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245630607 PECOS PAC ID: 8628390770 Enrollment ID: O20141201001673

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. My Phuong Thi 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
My Phuong Thi Phan, NP 200 S Manchester Ave Ste 300, Orange, CA 92868-3219 Ph: (714) 456-2986	My Phuong Thi Phan, NP 101 The City Dr S Bldg 25, Orange, CA 92868-3201 Ph: (714) 719-1136

Reviews and Comments

Nurse Practitioner Nurses in Orange, CA

Jennifer Michelle Shively, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 S Main St, Orange, CA 92868 Phone: 714-204-3277
Sarah Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 W Stewart Dr, Orange, CA 92868 Phone: 714-771-8000
Stephanie Pukini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2592 N Santiago Blvd, Orange, CA 92867 Phone: 855-434-7763
Patricia Goings, N.P., R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 E Chapman Ave, Orange, CA 92869 Phone: 714-628-3110 Fax: 714-633-1715
Anna Katrina Cruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 W Chapman Ave, Orange, CA 92868 Phone: 714-633-4300
Lea D Wood, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7630 E Chapman Ave Ste B, Orange, CA 92869 Phone: 714-287-0459
Elen G Araya, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812

My Phuong Thi Phan, NP - Medicare Nurse Practitioner in Orange, CA