Mr Christopher Phung, is a medicare enrolled "Nurse Practitioner" physician in Philadelphia, Pennsylvania. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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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| Location | 132 S 10th St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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