Quentin Phung, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Clifton Park, New York. His current practice location is
9 Old Plank Rd, Suite 100, Clifton Park, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 371-0777.
Quentin Phung is licensed to practice in New York (license number 234866-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306040936.
Healthcare Provider's Profile
| Full Name | Quentin Phung |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 9 Old Plank Rd, Clifton Park, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306040936
- Provider Enumeration Date: 06/14/2007
- Last Update Date: 05/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850464934
- Enrollment ID: I20081201000277
Medical Identifiers
Medical identifiers for Quentin Phung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306040936 | NPI | - | NPPES |
| 000418627001 | Other | NY | BSNENY PIN - SPECIALIST |
| 03056902 | Medicaid | NY | |
| 000418627005 | Other | NY | BSNENY PIN - ACUPUNTURIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | A234866 (New York) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 234866 (New York) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 234866-1 (New York) | 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. Quentin Phung allows following entities to bill medicare on his behalf.
| Provider Name | New York Pain Management Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407884455
PECOS PAC ID: 8325945199
Enrollment ID: O20031218000634 |
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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. Quentin Phung 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 |
|---|
Quentin Phung, MD
9 Old Plank Rd, Suite 100,
Clifton Park, NY 12065-3107
Ph: (518) 371-0777 | Quentin Phung, MD
9 Old Plank Rd, Suite 100,
Clifton Park, NY 12065-3107
Ph: (518) 371-0777 |
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