Dr Ngan Mai Pham, MD is a medicare enrolled "Anesthesiology" physician in Norcross, Georgia. Her current practice location is
145 Technology Pkwy, Norcross, Georgia. You can reach out to her office (for appointments etc.) via phone at
(800) 780-3500.
Dr Ngan Mai Pham is licensed to practice in Georgia (license number 58382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710066790.
Physician's Profile
| Full Name | Dr Ngan Mai Pham |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 145 Technology Pkwy, Norcross, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710066790
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8628170735
- Enrollment ID: I20070220000653
Medical Identifiers
Medical identifiers for Dr Ngan Mai Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710066790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | A 90339 (California) | Secondary |
| 207L00000X | Anesthesiology | 58382 (Georgia) | Primary |
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 Ngan Mai Pham allows following entities to bill medicare on her behalf.
| Entity Name | Concordia Anesthesiology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20100819000220 |
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| Entity Name | Sentry Anesthesia Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571 |
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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 Ngan Mai 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 |
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Dr Ngan Mai Pham, MD
6080 Lakeview Rd, Apt.1801,
Warner Robins, GA 31088-8593
Ph: (713) 301-3030 | Dr Ngan Mai Pham, MD
145 Technology Pkwy,
Norcross, GA 30092-2913
Ph: (800) 780-3500 |
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