Ms Chhorn Houn Pho, PA-C is a
Physician Assistant physician based in Saint Francis, Minnesota. Ms Chhorn Houn Pho is licensed to practice in Minnesota (license number 13249) and her current practice location is 22978 Butterfield Dr Nw, Saint Francis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 230-9248.
NPI number for Ms Chhorn Houn Pho is 1023646882 and her current mailing address is 1200 167th Ave Nw, Andover, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023646882.
Physician's Profile
| Full Name | Ms Chhorn Houn Pho |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 22978 Butterfield Dr Nw, Saint Francis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023646882
- Provider Enumeration Date: 03/28/2020
- Last Update Date: 07/18/2025
Medical Identifiers
Medical identifiers for Ms Chhorn Houn Pho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023646882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13249 (Minnesota) | Secondary |
| 225400000X | Rehabilitation Practitioner | (Washington) | Secondary |
| 363A00000X | Physician Assistant | 13249 (Minnesota) | 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. Ms Chhorn Houn Pho is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Chhorn Houn Pho, PA-C
1200 167th Ave Nw,
Andover, MN 55304-2854
Ph: (651) 528-3713 | Ms Chhorn Houn Pho, PA-C
22978 Butterfield Dr Nw,
Saint Francis, MN 55070-7710
Ph: (763) 230-9248 |
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