Mr Ho Phong Nguyen Xuan Pham, MD is a medicare enrolled "Family Medicine" physician in Presidio Of Monterey, California. His current practice location is
473 Cabrillo St Bldg 422, Presidio Of Monterey, California. You can reach out to his office (for appointments etc.) via phone at
(831) 242-4374.
Mr Ho Phong Nguyen Xuan Pham is licensed to practice in California (license number C175058) 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 1992046056.
Physician's Profile
Full Name | Mr Ho Phong Nguyen Xuan Pham |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 473 Cabrillo St Bldg 422, Presidio Of Monterey, California |
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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: 1992046056
- Provider Enumeration Date: 03/13/2013
- Last Update Date: 07/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183940158
- Enrollment ID: I20230619001816
Medical Identifiers
Medical identifiers for Mr Ho Phong Nguyen Xuan Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992046056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | C175058 (California) | Primary |
207Q00000X | Family Medicine | 28118 (Nebraska) | Secondary |
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 Ho Phong Nguyen Xuan Pham allows following entities to bill medicare on his behalf.
Entity Name | Hoag Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
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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 Ho Phong Nguyen Xuan 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 |
Mr Ho Phong Nguyen Xuan Pham, MD 4440 Euclid Ave, San Diego, CA 92115-4522 Ph: (619) 521-6812 | Mr Ho Phong Nguyen Xuan Pham, MD 473 Cabrillo St Bldg 422, Presidio Of Monterey, CA 93944-3201 Ph: (831) 242-4374 |
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