Dr Quynhanh H Pham, MD is a medicare enrolled "Surgery" physician in Jesup, Georgia. Her current practice location is
144 W Cherry St, Jesup, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 559-6929.
Dr Quynhanh H Pham is licensed to practice in Georgia (license number 66884) 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 1235167099.
Physician's Profile
| Full Name | Dr Quynhanh H Pham |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 144 W Cherry St, Jesup, 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: 1235167099
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002700218
- Enrollment ID: I20100416000339
Medical Identifiers
Medical identifiers for Dr Quynhanh H Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235167099 | NPI | - | NPPES |
| 003149194B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 66884 (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 Quynhanh H Pham allows following entities to bill medicare on her behalf.
| Entity Name | Florida Post Acute Care Clinicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811398811
PECOS PAC ID: 3971820598
Enrollment ID: O20150319001562 |
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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 Quynhanh H 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 |
|---|
Dr Quynhanh H Pham, MD
Po Box 1469,
Jesup, GA 31598-6469
Ph: (912) 559-6929 | Dr Quynhanh H Pham, MD
144 W Cherry St,
Jesup, GA 31545-1309
Ph: (912) 559-6929 |
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