Dominique Pham, MD in West Roxbury, MA - Medicare Internal Medicine

Dominique Pham, MD is a medicare enrolled "Internal Medicine" physician in West Roxbury, Massachusetts. His current practice location is 1996 Centre St, West Roxbury, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 469-0470.

Dominique Pham is licensed to practice in Massachusetts (license number 74589) 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 1891776662.

Contact Information

	Dominique Pham, MD
	1996 Centre St, West Roxbury, MA 02132-3329
	(617) 469-0470
	Not Available

Map and Direction

Physician's Profile

Full Name	Dominique Pham
Gender	Male
Speciality	Internal Medicine
Location	1996 Centre St, West Roxbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891776662
Provider Enumeration Date: 11/09/2005
Last Update Date: 01/14/2010

Medicare PECOS Information:

PECOS PAC ID: 6406822634
Enrollment ID: I20040908001271

Medical Identifiers

Medical identifiers for Dominique Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891776662	NPI	-	NPPES
3129063	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	74589 (Massachusetts)	Primary
207RG0100X	Internal Medicine - Gastroenterology	74589 (Massachusetts)	Secondary

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. Dominique Pham allows following entities to bill medicare on his behalf.

Entity Name	Pham Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316924863 PECOS PAC ID: 3870569007 Enrollment ID: O20040908001228

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. Dominique 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
Dominique Pham, MD Po Box 9135, Att:sharon Silva, Brookline, MA 02446-9135 Ph: (603) 890-4404	Dominique Pham, MD 1996 Centre St, West Roxbury, MA 02132-3329 Ph: (617) 469-0470

Reviews and Comments

Internal Medicine Doctors in West Roxbury, MA

David James Thornton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-203-5062
Dr. Leender Jack Faling, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-323-7700
Paul Richard Conlin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 857-203-5111
Cynthia L Browne, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Parkway, Cardiology 111 Ca, West Roxbury, MA 02114 Phone: 857-203-6772 Fax: 857-203-5629
Ian R. Rifkin, M.D., PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-323-7700
Katherine Doerr Linsenmeyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 857-364-4669
Dr. Jayashri R Aragam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Vfw Parkway, Vabhs, West Roxbury, MA 02132 Phone: 617-323-7700

Dominique Pham, MD - Medicare Internal Medicine in West Roxbury, MA