Dr Jack Phan, MD, PHD is a medicare enrolled "Radiology - Therapeutic Radiology" physician in Missouri City, Texas. He went to University Of California, Geffen School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Physicians Referral Service and his current practice location is
2926 Coral Rocks Ct, Missouri City, Texas. You can reach out to his office (for appointments etc.) via phone at
(310) 930-6594.
Dr Jack Phan is licensed to practice in Texas (license number N1835) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205150893.
Physician's Profile
Full Name | Dr Jack Phan |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 18 Years |
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Location | 2926 Coral Rocks Ct, Missouri City, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jack Phan attended and graduated from University Of California, Geffen School Of Medicine in 2006
NPI Data:
- NPI Number: 1205150893
- Provider Enumeration Date: 03/25/2010
- Last Update Date: 03/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 4688845274
- Enrollment ID: I20110910002930
Medical Identifiers
Medical identifiers for Dr Jack Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205150893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0203X | Radiology - Therapeutic Radiology | N1835 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Physicians Referral Service | 7911801410 | 2364 |
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. Dr Jack Phan allows following entities to bill medicare on his behalf.
Entity Name | Physicians Referral Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
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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. Dr Jack Phan 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 |
Dr Jack Phan, MD, PHD 2926 Coral Rocks Ct, Missouri City, TX 77459-7612 Ph: (310) 930-6594 | Dr Jack Phan, MD, PHD 2926 Coral Rocks Ct, Missouri City, TX 77459-7612 Ph: (310) 930-6594 |
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