Dr Jackie Phan, MD - Medicare Anesthesiology in Daly City, CA

  1. Home
  2. Anesthesiology
  3. CA
  4. Daly City
Dr Jackie Phan, MD is a medicare enrolled "Anesthesiology" physician in Daly City, California. She went to University Of California, San Diego School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Cep America - Anesthesia Pc, G2 Anesthesia Pc, Premier Anesthesia Of California Pc and her current practice location is 1900 Sullivan Ave, Daly City, California. You can reach out to her office (for appointments etc.) via phone at (650) 991-6816.

Dr Jackie Phan is licensed to practice in California (license number A109180) 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 1225277817.

Contact Information

Dr Jackie Phan, MD
1900 Sullivan Ave,
Daly City, CA 94015-2200
(650) 991-6816
Not Available

Map and Direction




Physician's Profile

Full NameDr Jackie Phan
GenderFemale
SpecialityAnesthesiology
Experience16 Years
Location1900 Sullivan Ave, Daly City, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jackie Phan attended and graduated from University Of California, San Diego School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1225277817
  • Provider Enumeration Date: 02/05/2009
  • Last Update Date: 05/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4688815665
  • Enrollment ID: I20130802000663

Medical Identifiers

Medical identifiers for Dr Jackie Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225277817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology A109180 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John Muir Medical Center - Concord CampusConcord, CAHospital
John Muir Medical Center - Walnut Creek CampusWalnut creek, CAHospital
San Ramon Regional Medical CenterSan ramon, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America - Anesthesia Pc3678897915324
G2 Anesthesia Pc337587359984
Premier Anesthesia Of California Pc509289702558

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 Jackie Phan allows following entities to bill medicare on her behalf.
Entity NameJohn Muir Trauma Physicians Billing Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093864837
PECOS PAC ID: 3476542515
Enrollment ID: O20050420001452
Entity NamePremier Anesthesia Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770691859
PECOS PAC ID: 5092897025
Enrollment ID: O20080130000444
Entity NameCep America - Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790401438
PECOS PAC ID: 3678897915
Enrollment ID: O20150115001110
Entity NameG2 Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487214698
PECOS PAC ID: 3375873599
Enrollment ID: O20191001001034

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 Jackie 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 AddressPractice Location Address
Dr Jackie Phan, MD
1900 Sullivan Ave,
Daly City, CA 94015-2200

Ph: (650) 991-6816		Dr Jackie Phan, MD
1900 Sullivan Ave,
Daly City, CA 94015-2200

Ph: (650) 991-6816

Reviews and Comments


Anesthesiology Doctors in Daly City, CA

Dr. Richard Derby Jr., MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 901 Campus Drive, Suite 312, Daly City, CA 94015
Phone: 650-755-0733    Fax: 650-755-3018
Sunil K Rohira, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 901 Campus Dr, Suite 102, Daly City, CA 94015
Phone: 650-991-2000    Fax: 650-755-8638
Ronald D Friedman, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Sullivan Ave, Daly City, CA 94015
Phone: 650-992-4000    
Jeffrey Michael Gaynor, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Sullivan Ave, Daly City, CA 94015
Phone: 650-992-4000    
Michael Welby Bigelow, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Sullivan Ave, Daly City, CA 94015
Phone: 650-992-4000    
Adam Dziuba, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Sullivan Ave, Daly City, CA 94015
Phone: 650-992-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.