Dac Tat Pham, MD is a medicare enrolled "Family Medicine" physician in Brinkley, Arkansas. His current practice location is 
208 S Main Ave, Brinkley, Arkansas. You can reach out to his office (for appointments etc.) via phone at 
(870) 734-3222.
Dac Tat Pham is licensed to practice in Arkansas (license number R3398) 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 1063409761.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dac Tat Pham | 
|---|
| Gender | Male | 
|---|
| Speciality | Family Medicine | 
|---|
| Location | 208 S Main Ave, Brinkley, Arkansas | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1063409761
- Provider Enumeration Date: 09/29/2005
- Last Update Date: 04/04/2012
  Medicare PECOS Information:
- PECOS PAC ID: 6507909702
- Enrollment ID: I20100210000732
 
		 
		 
Medical Identifiers
		Medical identifiers for Dac Tat Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1063409761 | NPI | - | NPPES | 
| 103572001 | Medicaid | AR |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 207Q00000X | Family Medicine | R3398 (Arkansas) | 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. Dac Tat 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 | 
|---|
		| Dac Tat Pham, MD 208 S Main Ave,
 Brinkley, AR 72021-3210
 Ph: (870) 734-3222
 | Dac Tat Pham, MD 208 S Main Ave,
 Brinkley, AR 72021-3210
 Ph: (870) 734-3222
 | 
		
		 
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