Camvy Victoria Phan, DO is a
Pediatrics physician based in Eielson Afb, Alaska. Camvy Victoria Phan is licensed to practice in Virginia (license number 0102207373) and her current practice location is 2630 Central Ave, Eielson Afb, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 377-6455.
NPI number for Camvy Victoria Phan is 1134714629 and her current mailing address is 2630 Central Ave, Eielson Afb, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134714629.
Physician's Profile
| Full Name | Camvy Victoria Phan |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
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| Location | 2630 Central Ave, Eielson Afb, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134714629
- Provider Enumeration Date: 03/05/2021
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Camvy Victoria Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134714629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0102207373 (Virginia) | Primary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
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. Camvy Victoria 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 |
|---|
Camvy Victoria Phan, DO
2630 Central Ave,
Eielson Afb, AK 99702-2301
Ph: () - | Camvy Victoria Phan, DO
2630 Central Ave,
Eielson Afb, AK 99702-2301
Ph: (907) 377-6455 |
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