Kevin K Pham, DO is a medicare enrolled "Hospitalist" physician in Roodhouse, Illinois. His current practice location is
414 S State St, Roodhouse, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 589-4383.
Kevin K Pham is licensed to practice in Illinois (license number 036157104) 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 1144754607.
Physician's Profile
| Full Name | Kevin K Pham |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 414 S State St, Roodhouse, Illinois |
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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. |
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Medical Education and Training:
- Kevin K Pham attended and graduated from in
NPI Data:
- NPI Number: 1144754607
- Provider Enumeration Date: 04/11/2017
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin K Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144754607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 036157104 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 036157104 (Illinois) | Primary |
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. Kevin K 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 |
|---|
Kevin K Pham, DO
Po Box 959354,
Saint Louis, MO 63195-1863
Ph: (618) 257-6220 | Kevin K Pham, DO
414 S State St,
Roodhouse, IL 62082
Ph: (217) 589-4383 |
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