Diemkieu Pham, is a medicare enrolled "Physician Assistant" physician in Wichita, Kansas. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Wichita Primary Care Llc and her current practice location is
2230 N Ridge Rd, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 448-8339.
Diemkieu Pham is licensed to practice in Kansas (license number 15-02552) 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 1780259192.
Physician's Profile
| Full Name | Diemkieu Pham |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 2230 N Ridge Rd, Wichita, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diemkieu Pham graduated from medical school in 2021
NPI Data:
- NPI Number: 1780259192
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810387701
- Enrollment ID: I20211208002315
Medical Identifiers
Medical identifiers for Diemkieu Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780259192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 15-02552 (Kansas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 15-02552 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wichita Primary Care Llc | 7911243316 | 5 |
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. Diemkieu 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 |
|---|
Diemkieu Pham,
2230 N Ridge Rd,
Wichita, KS 67205-1053
Ph: (316) 448-8339 | Diemkieu Pham,
2230 N Ridge Rd,
Wichita, KS 67205-1053
Ph: (316) 448-8339 |
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