Dr Phung Dinh Phan, DO - Medicare Family Practice in Lakeland, FL

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Dr Phung Dinh Phan, DO is a medicare enrolled "Family Medicine" physician in Lakeland, Florida. He went to Lake Erie Col Of Osteopathic Medicine, Bradenton and graduated in 2012 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeland Regional Health Systems Inc and his current practice location is 1625 Shepherd Rd, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 284-1626.

Dr Phung Dinh Phan is licensed to practice in Florida (license number OS20770) 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 1043567407.

Contact Information

Dr Phung Dinh Phan, DO
1625 Shepherd Rd,
Lakeland, FL 33811-2122
(863) 284-1626
Not Available

Map and Direction




Physician's Profile

Full NameDr Phung Dinh Phan
GenderMale
SpecialityFamily Practice
Experience14 Years
Location1625 Shepherd Rd, Lakeland, Florida
Accepts Medicare AssignmentsYes. 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 Phung Dinh Phan attended and graduated from Lake Erie Col Of Osteopathic Medicine, Bradenton in 2012
  NPI Data:
  • NPI Number: 1043567407
  • Provider Enumeration Date: 08/04/2012
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355616855
  • Enrollment ID: I20240328001971

Medical Identifiers

Medical identifiers for Dr Phung Dinh Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043567407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1141 (Nebraska)Secondary
207Q00000XFamily Medicine OS20770 (Florida)Primary
171000000XMilitary Health Care Provider 1141 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland Regional Medical CenterLakeland, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Regional Health Systems Inc8325952914513

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 Phung Dinh Phan allows following entities to bill medicare on his behalf.
Entity NameLakeland Regional Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497748743
PECOS PAC ID: 8325952914
Enrollment ID: O20031118000384

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 Phung Dinh 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 Phung Dinh Phan, DO
Unit 28038 Bld 700,
Apo, AE 09112

Ph: (314) 590-3904		Dr Phung Dinh Phan, DO
1625 Shepherd Rd,
Lakeland, FL 33811-2122

Ph: (863) 284-1626

Reviews and Comments


Family Medicine Doctors in Lakeland, FL

Danton Manabat Sun, MD
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Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7190    Fax: 866-264-8519
Dr. Luis Clyde Favilli, MD
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Practice Location: 3650 Innovation Dr, Lakeland, FL 33812
Phone: 860-709-1968    Fax: 863-701-2151
Saundra Holseth, DO
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Practice Location: 5421 S Florida Ave, Lakeland, FL 33813
Phone: 863-401-4401    Fax: 866-824-2717
Alex I Garriga, M.D.
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Practice Location: 6721 Crescent Lake Dr, Lakeland, FL 33813
Phone: 863-644-4547    Fax: 863-701-9453
Dr. Avantica Gondi, MD
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Practice Location: 1818 Harden Blvd Ste 120, Lakeland, FL 33803
Phone: 863-210-5640    Fax: 863-210-5716
Dr. Yi Chen, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-687-1100    
Dr. Saira Naseer, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4435 Us Highway 98 N, Lakeland, FL 33809
Phone: 863-858-8000    Fax: 877-531-4854

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.