Mr Christopher Phung, is a medicare enrolled "Nurse Practitioner" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jefferson University Physicians and his current practice location is
132 S 10th St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 955-6840.
Mr Christopher Phung is licensed to practice in Pennsylvania (license number SP023573) 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 1124696935.
Physician's Profile
| Full Name | Mr Christopher Phung |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 132 S 10th St, Philadelphia, Pennsylvania |
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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. |
Medical Education and Training:
- Mr Christopher Phung graduated from medical school in 2020
NPI Data:
- NPI Number: 1124696935
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 06/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082000443
- Enrollment ID: I20220412000593
Medical Identifiers
Medical identifiers for Mr Christopher Phung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124696935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | F01211220 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP023573 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Jefferson University Physicians | 7911819180 | 1393 |
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. Mr Christopher Phung allows following entities to bill medicare on his behalf.
| Entity Name | Jefferson University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
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| Entity Name | Jefferson Acute Care Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730571324 PECOS PAC ID: 7810215613 Enrollment ID: O20150407001063 |
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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. Mr Christopher Phung 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 |
Mr Christopher Phung, 1050 Johnston St, Philadelphia, PA 19148-4941 Ph: (267) 269-9388 | Mr Christopher Phung, 132 S 10th St, Philadelphia, PA 19107-5244 Ph: (215) 955-6840 |
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